Event Registration

2022 Leadership Retreat Registration

Name(Required)

First Last

Email(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Presbytery

Include my information in the roster to be shared with all attendees.(Required)

Yes

Registration Fee(Required)

POAMN Member Single room - on or before Sept. 9, 2022 - $270

POAMN Member Single room - after Sept. 9, 2022 - $315

POAMN Member Double room - on or before Sept. 9, 2022 - $180

POAMN Member Double room - after Sept. 9, 2022 - $225

Non-member Single room - on or before Sept 9, 2022 - $300

Non-member Single room - after Sept. 9, 2022 - $350

Non-member Double room - on or before Sept. 9, 2022 - $200

Non-member Double room - after Sept. 9, 2022 - $250

Commuter (no lodging) - $150

Roommate - if Double room selected above

If you selected a Double room rate, please enter the name of your roommate. If you would like a roommate assigned enter "Assign".

Dietary needs

Vegetarian

Vegan

Gluten free

Other

Optional meal add-on

Registration fee includes 7 meals (Thursday breakfast, lunch & dinner; Friday breakfast, lunch & dinner; and Saturday breakfast). You have the option to add-on Wednesday dinner at Ferncliff, or you may have Wednesday dinner on your own off site. Transportation to an off site option will be your own responsibility.

Wednesday dinner (optional) - $15

2023 Discounted Membership

Retreat attendees are eligible for a 50% discount on their 2023 membership fees.

Individual Membership - $25

Couples Membership - $37.50

Organizational Membership - $62.50

If you selected an Organizational Membership above, include name, address, and contact information for the Organization.

Total Due

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