Online Registration Form

Annual Ladies Retreat October 9-10, 2009

Please fill out the appropriate blanks and hit the Submit button at the bottom of the form.

Name:
Street Address:
City:
State:
Zip:
Phone:
Email:
Home Church:


If registering before September 30th
Friday and Saturday $25.00 Saturday only $15.00

  Late Registration Fees
Friday and Saturday $50.00 Saturday only $50.00



    Please send your check to Ladies Retreat,
    c/o Karen Jones
    1868 Old Greenville Road
    Staunton, VA 24401  
    Make your check out to "Staunton OPC" and indicate "Ladies Retreat"
    Thank you and the Lord bless.
    Inquiries may be made to Karen at lynnhavenhome@verizon.net     .