Men’s Retreat Registration Men's Retreat Name* First Last Email* Phone*Any food allergies or additional notes?Payment Type*Credit CardCheckRequest ScholarshipRegistration Price: $75.00 The cost of registration includes food, lodging, rental of meeting facilities, and all activities.Scholarship I would like to provide a tax deductible scholarship for families or guests who are unable to pay the full cost of the retreat Scholarship Amount Scholarship DetailsTotal $0.00 Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20182019202020212022202320242025202620272028202920302031203220332034203520362037 Expiration Date Security Code Cardholder Name Please write a check to "Redeemer Community Church" with "Men's Retreat" in the memo line.Please write an additional separate check to "Redeemer Community Church" with "Scholarship" in the memo line.
