REGISTRATION FORMLeah Wolfsong 51 Jordan Road Buckfield, ME 04220
Women's Weekend Retreat
Rediscovering our True Selves with Leah Wolfsong April 21, 22, 23, 2005 Bear Mountain Inn, Waterford, Maine Space is limited. To register, send payment in full by April 7, 2006!!! Please complete a separate registration form for each attendee. Name: ____________________________________________________________ Address: ____________________________________________________________ ____________________________________________________________ Phone: ___________________ Email:___________________________________ Please check the registration option you desire: Complete Package ____ Room Option 1 $250 ____ Room Option 2 $270 ____ Room Sharing Option (Call Leah for price) _____ Meals & Workshop only ____ Per person $150
Enclosed please find my check made payable to: |