Registration
Form
Return
this completed Registration Form along with your check to:
Jesica
Womack
40844 N. Hearst
Drive
Anthem, AZ 85056
623-551-4441
Checks should be made out to AZ Precept Retreat
Personal Information: Please
fill out completely.
Name
___________________________________
Name
called by__________________________
Address
___________________________________
City
___________________________________
State
________________________
Zip
_________________
Home
Phone ___________________________
Work
Phone ___________________________
Registering for:
Workshop
Precept Leader Training 45.00
Dates
Aug 8th 2008 :: 9:00am -5:00 pm
Workshop Basics of Precept Upon Precept 45.00
Dates
Aug 9th 2008:: 9:00am -5:00
pm
Other
Lunch with either workshop 10.00
TOTAL::