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All retreat forms due at least two weeks before retreat begins Please indicate Retreat Date when sending. __ Women's Retreat - Date: _________________ Deposit: $30.00/ Total Fee:$90.00 __ Holy Week Retreat - Date: ________________ Deposit: $30.00 / Total Fee: $90.00 __ Men's Retreat - Date: ____________________ Deposit $30.00 / Total Fee: $90.00 __ Women's Prayer Day: ___________________ Deposit/Total Fee: $15.00 Name:_____________________________________________________________ Address:___________________________________________________________ City:_________________________________________ State:_____ Zip:________ Phone: (______) __________________ E-mail:____________________________ Amount Paid: _______________ Deposits are not refundable within the two weeks prior to the retreat. Send registration and fee to: 56630 North Bank Road McKenzie Bridge, OR 97413 More information: sblodge@opwest.org (541) 822-3572 - - - - - - - - - - - - - - - - print and cut - - - - - - - - - - - - - - - - - - - - - - - - -
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