Mt. Pleasant Baptist Church – DC
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MPBC WOMEN’S RETREAT
October 5-7, 2023 – The National Conference Center, Leesburg, VA
Registration Form
Title (Select One)
Reverend
Doctor
Minister
Sister
Name
*
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Apt, suite, etc.
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---
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Your Email Here
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Emergency Contact Number
Room Type (Select One) ONE PERSON Per Room
n/a
Single Standard (full size bed) $446.00
Double: Suite (queen-sized bed & sleeper sofa) $560.00
One Person
Room Type (Select One) TWO PERSONS Per Room
n/a
Single Standard (1 full size bed) $354.00
Double: Suite (1 queen-sized bed & sleeper sofa) $412.00
Two Persons
Roommate's Name (if applicable)
Special needs /accommodations (i.e., allergies, etc.)
Complete meeting package includes:
*Full conference, *2-night stay accommodations, *transportation, *6/7 full course meals –
beginning w/dinner on Thursday and concluding with lunch/dinner on Saturday, * morning and
afternoon break/snack station on Friday & Saturday * T-shirt *Retreat Bag
T-shirt Size
Small
Medium
Large
XL
XXL
Will you be taking group transportation?
Yes
No
Name Badge
Additional Payment Amount (optional)
Submit
Giving