Discipleship and Leadership Retreat
Room Registration
August 19-20, 2010
For Retreat Registration please call:
615-377-4688 or visit www.lionshare.org 

First Name                                Last Name
    

Address                                                    City                               State                    Zip Code
                         

Pone Number                       Cell/Alternative Number              Email
                              

Please check/click the appropriate box below
Double Occupancy - $95.00 per person
             Roommate
Single Occupancy - $110.00 per person
Commuter Rate - $55.00 per person

All meals are included in the price.
Checks, cash, and all major credit cards are accepted.
Payment due at time of registration.

Please note any dietary or physical needs below: