Test Page - Contemplative Outreach

Centering Prayer Intensive Retreat

Complete the form below to register and pay online for the Centering Prayer Intensive Retreat October 15-19, 2023. Please register only one person per form. *Required Fields

"*" indicates required fields

First Name*

Last Name*

Home Church*

Telephone*

Email*

Enter Email Confirm Email

Address*

Street Address City State ZIP Code

Room Preference*

Single Room ($760) and Double Room ($610 per person)

Single Room

Double Room

Centering Prayer Intensive Retreat - Deposit*

Non-refundable and non-tranferable

Price:

Credit Card*

Please do not add spaces in between the credit card number.

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

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