Retreat Reservation Form
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Complete the form below to Register for a Retreat at the Graymoor Spiritual Life Center.

Unless otherwise noted, single occupancy for weekend retreat is $200.00 per person; double occupancy is $130.00 per person. All meals are included; towels and linens are provided (bathrobes are recommended for shower use). Bring your own alarm clock.

Early registration is recommended and appreciated; some retreats are limited in number of participants.

Minimum $50 per registrant required upon Registration.

NOTE: If the retreat you wish to attend has "FULL" next to the retreat name below, please enter your details and you will be put on a waiting list. It is not necessary to provide a deposit to be put on the waiting list for a FULL retreat.

* required fields

Retreat
Room Type
Sex
Registrant's Name
Roommate
(if applicable)

 

Deposit or Payment Amount $
Minimum $45 per registrant required upon Registration.

VISA Master Card Discover AMEX


Card Number* (numbers only)
Expiration Date*
CVC/CVS* (what's this?)
First Name*
Last Name*
Address*
City*
State*
Zip*
E-mail*
 

(confirmation will be sent to this address)
Home Phone Please supply a phone number in
                                                               case we need to contact you.
Work Phone
Other Phone


Please include any additional information below:



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