FPCT Men's Retreat 2022
April 29-30 | Friday, April 29th, 5:00 pm - Saturday, April 30th, 4:00 pm
Cost: $50/person
Name (First & Last)
*
Address
*
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CA
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DC
DE
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FM
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GU
HI
IA
ID
IL
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LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Phone
*
Email
*
This address will receive a confirmation email
Emergency Contact
Name (First & Last)
*
Phone (Primary)
*
Sleeping Accomodations
*
Please select all that apply.
Bed in a Cabin
Bed In the Lodge (Priority given to our Sr. Men)
RV/Tent/Vehicle
Sleeping In My Own Bed
Saturday Only
I have dietary restrictions (please specify below):
Payment
Registration Payment (Select from drop-down menu)
Friday-Saturday ($50)
Saturday Only ($40)
Friday night only ($15)
Friday-Saturday ($50)
Saturday Only ($40)
Friday night only ($15)
Amount
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
April 29-30
Friday, April 29th, 5:00 pm - Saturday, April 30th, 4:00 pm
Cost: $50/person
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