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Event Signup
Participant Information
To save your spot, we will need the following contact information from you.
Name
*
First Name
Last Name
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Phone
*
Please use dashes.
Email
*
Verify Email
*
Deposit Payment Type
*
A $50 deposit is required to guarantee your spot and will be refunded to you on arrival of the event. Payment can be sent to P.O. BOX 605, Washington, IA 52353.
Cash - Reference Women Retreat
Check - Memo: Women Retreat
Other - Please contact Heidi