Retreat Registration Form

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Retreat Registration Form

The Gift of Remembrance

Thursday, September 24 to Sunday, September 27, 2009

Accommodations include overnight stay Thursday, Friday and Saturday, dinner on Thursday, breakfast, lunch and dinner on Friday and Saturday, and breakfast and lunch on Sunday. Optional additional lodging (Wednesday or Sunday night) includes meals.

After submitting form, contact the Joseph Plan Foundation at (323) 933-5591 to pay by credit card. Accommodation charges below are for early registration. Please add $50 after August 15th.

* Required fields
Name *
E-mail Address *
Address 1 *
Address 2
City, State, Zip *
Country *
Daytime Phone Number *
Evening Phone Number *
Accommodations	Double occupancy - $450 Single occupancy - $570 Commuter(Lunch only) - $250
Meal Preference	Non-Vegetarian Vegetarian Vegan
Additional Nights Lodging (Optional)	*Wednesday 9/23 - Double - $100 *Wednesday 9/23 - Single - $140
	*Sunday 9/27 - Double - $100 *Sunday 9/27 - Single - $140
I will be paying by:	Credit Card Check
Special Comments : Roommates, Additional Nights, Food allergies, etc.

I have read and agree to the Privacy Policy *

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