United Methodist Church
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Elizabeth River Men's 2017 Fall Retreat Registration FormPOWER UP ‘17
Elizabeth River District Men’s Spititual Retreat • Registration Form
November 4, 2017 • Check In: 8:00 am • Closing: 5:00 pm
Contact Info: David Collins (757) 420-1958 djcoll@icloud.com Mail registration form & check to: ERD UMM, c/o David Collins 400 S. Military, Hwy, Apt. 1105, Virginia Beach, VA 23464
NAME: FIRST ________________ LAST ____________________
NICKNAME / NAME FOR BADGE ______________________
CHURCH OR FELLOWSHIP AFFILIATION ___________________________ NONE ______
UNITED METHODIST CHURCH DISTRICT: ELIZABETH RIVER _____ EASTERN SHORE _____ YORK RIVER _____ OTHER _______________
CONTACT INFO: MAILING ADDRESS:___________________________________
EMAIL ADDRESS ____________________________
PHONE (______) ______ - _________
FOR PLANNING: AGE ________
PAYMENT METHOD: CASH _____ CHECK _____ (MAKE $35.00 CHECKS PAYABLE TO ERD UMM) Mail registration form & check to: ERD UMM, c/o David Collins 400 S. Military, Hwy, Apt. 1105, Virginia Beach, VA 23464
LUNCH: PORK _____ CHICKEN _____ (BAR-B-QUE WILL BE SERVED UNLESS CHICKEN IS DESIGNATED)
**I HAVE SPECIAL DIETARY NEEDS ________________________________________________
The Retreat will be held at: Oak Grove United Methodist Church, 472 N. Battlefield Blvd, Chesapeake, VA 23320
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