Fall Scrapbook Registration
October 12-14 , 2007
Name _______________________________
Address ________________________________________________
City _____________________________State ___Zip ___________
Phone ___________________
E-mail ___________________
Home Church ___________________________________________
Special needs (dietary, mobility) _______________________________
Housing & Fees
Lakeview lodge Price: TBA
Roommate Request _____________________
(Please keep in mind that you may have other roommates as well.)
Please include a $30.00/person non-refundable registration fee, which is applied to the cost of the retreat .
Mail To: Camp Friedenswald
15406 Watercress Dr .
Cassopolis , MI 49031-9532
E-mail: info@friedenswald.org
Phone: (269) 476-9744 FAX: (269) 476-9745
If paying by credit card, complete the information below:
Visa
Mastercard
Discover
Card Number___________________________ Exp. Date_____________
Signature_________________________________
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