Ministers Wives Retreat Hold Form Ministers' Wives' RetreatName*Your Email (if no email, type none)*Cell Phone*Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Church Name & City*Husband's Ministry Role*LodgingLee Lodge rooms are given on a first come, first served basis. Once Lee Lodge is full, attendees will stay in cabins. Cabins are bunk bed style with women on bottom bunks. All linens and towels are provided in rooms and in cabins. Are you staying overnight on campus or commuting? Staying overnight Commuting Room Type* Cabins Roommate Preference (2-4 people) in Lee Lodge roomsRoommate Preference in CabinsDo you need us to find one or more roommates for you?* Yes No If a roommate preference is not listed, one will be assigned.Type any special needs in regards to lodging below; i.e. no stairs, handicap, etc.Commuter MealsPlease select all meals you will eat with us as a commuter. Friday supper Saturday breakfast Saturday lunch Please indicate special/dietary needs or allergies below*these may only be accommodated by the registration deadline.Payment in FullPayment must accompany this hold form to secure registration at Ministers Wives. *Full refunds are not possible after the registration deadline*Single RegistrationTotal $0.00 Credit Card Payment*Card Details Cardholder Name Δ
