MADWR 2023 Registration – (CZ) We are very sorry that the rooms are now FULL. We hope to see you next year 🙂 2023 - CHECK or ZELLE MADWR Name* First Last Address* Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Email* Text Number*Emergency Contact - Name* First Last RelationText Number*Special Accommodation Need Accessibility Need Deaf-Blind Interpreter Special Diet - an online form will be emailed to you 2-3 weeks before retreat ROOMIE(S) PREFERENCE:MARANATHA RETREAT OPTIONS*Maranatha - 2 Ladies - $220.00Maranatha - 3 Ladies - $170.00Maranatha - 4 Ladies - $150.00Maranatha - 5 Ladies - $130.00Friday Dinner? Add $15.00*Yes, I would like Friday DinnerNo, I do not want Friday DinnerI would like to pay with:*CHECK (mail to Marilyn Skidmore)ZELLE (madwrinfo@gmail.com)ALREADY PAIDCHECK is to be mailed to Marilyn Skidmore, 320 Madison Rd, Willow Grove, PA 19090. ZELLE payment payable to MADWR madwrinfo@gmail.com Pick your amount:*The total amount is to be paid by August 31, 2023. Paying IN FULL amount todayPaying partial amount todayALREADY PAIDIf paying partial amount today, how much will you pay?Your Total: $0.00 Full balance is due August 31 , 2023, (for FULL refund - let us know by August 31, 2023). --- If you do not receive an email confirmation, please email madwrinfo@gmail to follow up on your registration and payment. CAPTCHA