Women’s Retreat Registration Women's Retreat Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email* Phone*Allergies or Dietary Restrictions If you have dietary restrictions, please check here. We will contact you for further details. Payment Type*Credit CardCheckI would need financial assistance to attend the retreatRegistration Price: $90.00 The cost of registration includes food, lodging, rental of meeting facilities, and all activities.I am able to pay ____ toward the registration fee. Scholarships requests will be reviewed by women's ministry leaders and pastoral staff. You will receive an email within 7 days regarding application.I would like to provide financial assistance Total $0.00 Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name Please write a check to "Redeemer Community Church" with "Women's Retreat" in the memo line.If giving towards scholarships, please write an additional separate check to "Redeemer Community Church" with "Scholarship" in the memo line.