2017 Annual Fall Retreat Registration
(attending entire retreat)

When:  October 19 - 22, 2017 (Thursday eve dinner – Sunday lunch)
Where: Life Enrichment Center, 4991 Picciola Rd, Fruitland Park, FL 34731

If you will be attending the entire retreat, please use the form below to register. If you will only be attending part of the retreat please click here to register.

NOTE: If you are coming as a couple, please complete separate registration forms for each person.

Required*

If you are a vegetarian, or if you have other dietary restrictions or preferences, go to www.lecretreats.org/lec-dietary-page to register your dietary needs with the Life Enrichment Center.

If you are attending the entire retreat (Thursday evening, October 19 to Sunday noon, October 22; See Schedule), here is the cost of the retreat. Please check the box next to your choice:




If you choose a Double Occupancy Room, identify your preferred roommate, if you have one:

If you would like to make a contribution to our Youth Scholarship Fund please enter the amount below.

Please add the amount of your lodging selection with the amount, if any, of your contribution to the Youth Scholarship Fund. Enter this total below in the Total Amount Due box. Please make a note of the Total Payment Due amount so you will have it on hand for processing your payment.


How to Pay:

Once you submit your registration by clicking the button below there are two options to pay for your registration for the retreat.

Pay through PayPal:

a) Go to your PayPal account (or create one)

b) Click on the "Send money to friends and family" button

c) Enter email: This email address is being protected from spambots. You need JavaScript enabled to view it.

d) In the "Write a note" box enter: For 2017 DUP Retreat

e) Process your payment

OR

Pay by check:

Make your check payable to Suzy Stoner and send to Suzy Stoner, 1796 Ocean Shore Blvd., Ormond Beach, FL 32176.

Please indicate how you intend to make your payment: