70th Annual Men’s Retreat Registration Form

January 19-21, 2018 at St. Francis Retreat Center in San Juan Bautista, CA.

Quantity
Price
Total
*DEPOSIT ONLY* (per person)

*Non-refundable* - Hold your spot - Balance due at time of event

X
$
25.00=
$
0

SINGLE Occupancy (1 person / 1 room) *PAY IN FULL*

*$25.00 of this amount is non-refundable as a deposit to save your spot*

X
$
280.00=
$
0

DOUBLE Occupancy (per person) *PAY IN FULL*

*$50.00 of this amount is non-refundable as a deposit to save your spot*

X
$
220.00=
$
0

Commuter Rate

Event ticket price only - No room reservation needed

X
$
130.00=
$
0

Final Total:
$
0

Contact Information

Country*
State / Province*
Address*
City*
*
*
*
*
*
*
Email*
Confirm Email*
Phone*

Additional Information

Roommate Name
Special Needs

Payment Information

Amount*
$
Name on Card*
Card Number*
Additional Comments