FALL 1999

Retreat Registration Form

NAME:______________________________________________________

ADDRESS:___________________________________________________

CITY:________________________ STATE:______ ZIP:____________

PHONE:_________________ MEETING:___________________________

SPECIAL DIETARY NEEDS:_____________________________________

FOR THE POT-LUCK, I'LL BRING:______________________________
                                    []vegetarian    []vegan

 

Please enter names and check off age category of those who will be attending. Fee for adults is $30; children, $20; infants not using a bed free. Maximum per family is $80. Please print and return this form with your check made out to Salem Quarterly Meeting to the Coordinator's Office, PO Box 55, Woodstown, N.J. 08098.	Name	Adult	Child	Infant	Amount
					$
					$
					$
					$
					$
					$
	Total:				$

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