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LGBT and Allies Retreat in the Rockies
Sponsored by the Association of Welcoming & Affirming Baptists

Online Registration Form

Retreat registration is $235 per person for a semi-private room (two people per room). Private rooms (one person per room) are available for an additional price. Registration is $335 per person for a private room. All registrations include 3 nights lodging and 5 meals.

Retreat registration can be made online and registration paid by credit card or PayPal. You may also mail your registration form and pay by check. Retreat registration is non-refundable after June 10, 2005.

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Select check boxes by clicking with your mouse. The tab key may be used to move through the text fields and pull down boxes. If paying online, select the blue button below and open another window that will take you to the payment page. The submit and reset buttons are located at the bottom of the form.

Name: Rev.  Mr.    Mrs.  Ms.  Dr. 

Name: Rev.  Mr.    Mrs.  Ms.  Dr. 

Mailing Address:

City:   State/Prov.:    Zip/Postal:

Country:   Phone:    Fax:

Email:

$235 per person for semi-private room (two people per room).

$335 per person for private room (one person per room).

Paid Online:  Paid by Check: Total amount: (Select) $235 $335 $470 $670   

If paying online, please select the Pay Online button above before activating the Submit button to send this form. The Pay Online button opens a separate browser window to complete the payment process.

Name of roommate if registering separately:

The Association of Welcoming & Affirming Baptists
PO Box 42544, Washington, DC 20015