SAM RETREAT ONLINE REGISTRATION

To register yourself or your group, complete the required fields below.  Registration fees include event activities, selected meals, and lodging.  Fees are non-refundable but are transferrable within the same event.  Online registration is ONLY available through September 15; all registrations after that date MUST be sent by mail or fax.

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STEP ONE  |  YOUR INFO
Church:  City:  Section:

Group Contact or Individual Attendee Name:

Phone:  Email:


STEP TWO  |  YOUR ATTENDEES
Total Number of Attendees:


STEP THREE  |  YOUR ACCOMMODATIONS
Rooming list(s) are required to secure your accommodations.   If we do not receive a completed Rooming List for yourself or your group, then your registration will not be processed.  Fax your form to ATTN: Rochelle Brumbalow at 478.405.5902.

Download Rooming List Form

Yes, I have downloaded & faxed the rooming list form.


STEP FOUR  |  YOUR COST
MULTIPLE OCCUPANCY (Max. 4 persons per room)
Number Attendees:  X  $135.00  =  Cost $

SINGLE OCCUPANCY
Number Attendees:  X  $180.00  =  Cost $
                                                                         TOTAL DUE: $

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