MADWR 2024 Registration - (10Mo) - Mid-Atlantic Deaf Women Retreat

Name*

First Last

Address*

Street Address City State ZIP Code

Email*

Text Number*

Emergency Contact - Name*

First Last

Relation

Text Number*

Special Accommodation

Need Accessibility
Need Deaf-Blind Interpreter
Special Diet (a form will be sent to you 3-4 weeks before retreat))

Which Retreat Plan would you like to pick?*

The amount is divided into 10 months. So the amount that you will see in "Your Total" is your monthly recurring (automatic) for 10 months.

MARANATHA RETREAT OPTIONS*

Maranatha - 2 Ladies - $23.00
Maranatha - 3 Ladies - $18.00
Maranatha - 4 Ladies - $16.00
Maranatha - 5 Ladies - $14.00

MARANATHA RETREAT OPTIONS (Student Discount)*

Maranatha - 2 Ladies - $21.00
Maranatha - 3 Ladies - $16.00
Maranatha - 4 Ladies - $14.00
Maranatha - 5 Ladies - $12.00

WPW LODGE RETREAT OPTIONS*

WPW Lodge - 2 Ladies - $23.00
WPW Lodge - 3 Ladies - $18.00
WPW Lodge - 4 Ladies - $16.00
WPW Lodge - 5 Ladies - $14.00

WPW LODGE RETREAT OPTIONS (Student Discount)*

WPW Lodge - 2 Ladies - $21.00
WPW Lodge - 3 Ladies - $16.00
WPW Lodge - 4 Ladies - $14.00
WPW Lodge - 5 Ladies - $12.00

ROOMIE(S) PREFERENCE:

Friday Dinner? (Add $1.50)*

Yes, I would like Friday Dinner
No, I do not want Friday Dinner

Your Total (This will be your recurring 'automatic' payment for 10 months):

$0.00

Sign up by DECEMBER 27, 2023, so your last payment will be by SEPTEMBER 27, 2024 (for FULL refund - let us know by September 1, 2024). --- If you do not receive an email confirmation, please email madwrinfo@gmail to follow up on your registration and payment.

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MADWR 2024 Registration – (10Mo)

2024 Registration - 10 Month Recurring ONLINE