Morning Star Missionary Baptist Church's
Margaret Massey Women's Retreat 2017

Registration form
Name:
Email Address:
Address:
Home Phone:
Cell Phone:
City:
State:
ZIP Code:
Registration
Roommate(s) names:
Payment Information
Payments may be made at any time as long as deposit and final payment deadlines are met.

Make checks payable to: MSMBC

(If mailing in payments please address to the following)
Attn: Women's Retreat
4610 Fayetteville Road
Durham, NC 27713

Cost: $130.00            Deposit: $25.00  (Deposit of $25 is required for registration)

*February 12, 2017 -    1st payment due (Deadline for $25 deposit)
*March 5, 2017        -    2nd payment due
*April 2, 2017           -    3rd payment due
*April 30, 2017         -    4th payment due

You may also use our online giving service to make payments. 
Personal Information
T-shirt size:
Contact Information
Special Needs Information
Please indicate any special needs (such as mobility needs, food allergies, or dietary needs) by noting them below.
Please indicate your roommate preference if any.
Please be sure to provide all information and then click the "Submit" button at the end.
This years retreat will be at the
 Camp Caraway Conference Center
 4756 Caraway Mountain Road Sophia, NC 27350
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