EmailMe Form - Retreat Registration

Name *

First Last

Phone *

### - ### - ####

Email *

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Will you be staying for the length of the event?

Yes

No

Which days will you be attending?

Friday evening

Saturday

Both

Cost: *

$55 Early Bird Rate

$65 Regular Rate

I will be paying: *

Online (see info below)

Debit, in person at CPC office

Will bring cash or cheque to CPC office or will put in offering on Sunday

Cash or cheque at the event

To pay online with a credit card go to:

https://pushpay.com/pay/cpclife

In the GIVING TYPE field please choose "SOAR Women's Ministry Event".

Questions or Comments

I would like to receive information and updates