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FAMILY INFORMATION

Name Birthdate Gender

Address

City State Zip

Phone Email

Primary Church

RETREAT CHOICE

We would like to reserve a cabin:

Starting Ending

For a total of nights.

FEES:
Cost for families currently serving in the pastorate or as missionaries
is $65 per family per night.

PAYMENT INFORMATION:
Minimum nonrefundable deposit for each family is $65. Balance must be paid no later than 10 days prior to your retreat start date.
Total Retreat Fee
Deposit/This Payment
Balance Due

PAYMENT METHOD:
Check (Make payment and mail to Sonrise Mountain Ranch)
Pay Online with Credit Card (Select the submit and pay online button below)
Gift Certificate/Scholarship
Gift Certificate/Scholarship #

Comments:




We will send a confirmation of your registration. We look forward to seeing you!