Hosea Mountain Retreat "Print and Mail" Tuition Form.
Please print clearly to assure your proper registration; thanks!
Don't forget to include your check... or...pay with your credit card now!
Click the credit card button below.. but don't forget to print out this form and mail it, too!
CLICK HERE FOR AN ADOBE PDF FORM YOU CAN FILL OUT ON YOUR COMPUTER, THEN PRINT.
ADOBE READER SOFTWARE REQUIRED. Get Adobe Reader here.
Note: You can print the form, but not save the information you've typed on your computer.
(The form will save blank, so print it first!)
Retreat dates: October 15-17, 2010
State _________________ Zip ____________________
Phone #: Day ________________________________________________________
Phone #: Eve ________________________________________________________
We ask for a tuition donation of $150 per person, including a registration deposit of $50 per person.
We would appreciate the full amount paid up front if possible for you; thank you.
Amount enclosed with my check as payment: $ ______________
-- OR --
[ ] Pre-paid by credit card online; no check enclosed.
Make checks payable to: The Hosea Foundation
Mail form & check to: Anna Chapman, PO Box 458, Arlington, VT 05250
Arrangements for housing and meals are made separately with the Landgrove Inn, 1-800-669-8466. Be sure to specify that you are with the Hosea Retreat in order to get the special price for the October retreat. (based on double occupancy).
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