WOPFM Annual Women's Retreat (Registration Form)

Please complete the fields below and click Submit. After submitting your information, you will be redirected to PAYPAL for payment. Your registration will not be completed until your payment has been processed via PAYPAL.

Name:

Address 1:

Address 2:

City:

State:

Zip:

Email:

Home Phone:

Work Phone:

Church Affiliation:

Please state if you require special dietary meals:

Amount Enclosed:


$
For Registration only enter 75. For Registration & Housing enter 230.
 

Note: Please send your email address to sgtucker@wopfellowship.org if you desire to receive updates via email.