Renewal Retreat

Workshop Registration

To register:

1. Complete and print this form.
2. Unless otherwise specified by workshop outline, make cheque payable to Renewal Retreat, Inc. and mail to:
Renewal Retreat, Inc., 85185 Marnoch Line, Belgrave, Ontario, Canada

Your Name:

Mailing Address:

Daytime Phone:

Evening Phone:

Fax:

E-Mail Address:

If you have dietary preferences or concerns, please list them here.

If there is anything else you feel we should know, please indicate below.

We are happy to answer any questions you may have:
Email us at relax@renewalretreat.com or call (519) 357-1914

Course Selection
	Course Name	Date	Cost
1.
2.
3.
		Total Payment
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