Women's Retreat Registration

September 14-16, 2007

Name____________________________________

Address__________________________________

City___________________State___Zip________

Phone___________________

E-mail___________________________________

Home church______________________________

Special needs (dietary, mobility)______________________

Housing Preferences and Fees

(selection is not guaranteed)

Lakeview ($ 85 ) Tamarack ($ 85 )

Sycamore ($ 85 ) Guest House ($ 85 )

Cabin/Dorm ($ 70 ) Saturday only ($40)

Roommate Request /s :_______________________

_________________________________________________

Please include a $30.00/person non-refundable registration fee, which is applied to the cost of the retreat. (Checks payable to Camp Friedenswald )

Mail to: Camp Friedenswald
15406 Watercress Dr.
Cassopolis, MI 49031-9532
Registration: debra@friedenswald.org
Phone: (269)-476-9744
Fax: (269)-476-9745

If paying by credit card, complete the information below:

Visa Mastercard Discover

Exp. Date________________________________

Card Number______________________________

Signature_________________________________