Women of Wisdom Retreat Offline Registration Form

Women of Wisdom Retreat

At the Bergamo Center
in Dayton, Ohio
May 14, 15 & 16, 2010
Printable OFFLINE REGISTRATION FORM

Name_____________________________________________________
Street Address____________________________________________
State/Province & Zip Code_________________________________

Phone___________________________

E-mail___________________________

Deposit: $75.00 (non-refundable, required to hold space)
Check____ (Payable to CIRCLE STUDIOS)
Money Order____ (Payable to CIRCLE STUDIOS)
Visa or Mastercard #:_____________________________________
Name:____________________________________Exp:____________
Send the original, fully completed Registration Form to:
The Women of Wisdom Retreat
c/o Phil Childers
6907 Village Green Blvd.
Pewee Valley, KY 40056