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2009 Vancouver Vineyard Women's Retreat Registration

Kingdom Kids Youth/Young Adults Women's Ministries Cultivation!

When:	November 13th-15th, 2009
Where:	Crestview Manor http://www.crestviewmanor.org
	1601 NE Crestview Ln.
	Corbett, OR 97019

(Link to Directions)

Name:	*
Address:	*
City:	* State: * Zip:
Email:
Phone Number:	*

Cost: $139

Registration: *
	$25.00 - Women's Retreat Pmt - 1 of 3 $55.00 - Women's Retreat Pmt - 2 of 3 $59.00 - Women's Retreat Pmt - 3 of 3 $139.00 - Women's Retreat - PAID in FULL

Roommate Requests:
(no guarantees)

Quiet Party Time Don't Care *

Need to Carpool? Preferred Time
I'm willing to drive others in my car.

Things to Bring:
Clothing, Toiletries, Bible, Journal / Notebook, Snacks, Games, Camera.

Q? Call Jean at 576-4815 or email: jean@insideoutimpact1.com.

* Required Information
Pay by Credit Card on next page.
Your registration will not be complete without your credit card payment through Google Checkout.

Scholarships:

You can help someone go to the retreat by donating towards a scholarship.