| First Name: * |
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| Surname: * |
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| Address: |
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| City: |
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| Province: |
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| Postal Code: |
ANANAN or NNNNN, no spaces |
| Email: * |
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| Confirm Email: * |
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| Home Phone: * |
999-234-5678 |
| Cell Phone: |
999-234-5678 |
| Church: * |
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Registration Options: * |
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| Registration Notes: |
Overnight space is limited, early registration is strongly recommended.
NON-REFUNDABLE payment in full is due with registration. Post-dated cheques accepted.
Please make cheques payable to Sovereign Grace Fellowship and mail to:
Heidi Peterson
PO Box 14, 11 Richmond St E.,
Tottenham ON L0G 1W0
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How did you hear
about this retreat? * |
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| Rooming With: |
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| Require Transportation: |
You will be contacted for specifics |
| Special Needs: |
eg. dietary, allergies, accessibility
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| * Mandatory Entry |
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| Questions? Contact Heidi Peterson at heidip@traincanada.com or 905-936-9800. |