Men's Retreat 2019
September 27-29, 2019 | Men's Retreat
Alpine Villa Tuscan Retreat Center
Breckenridge, CO
Check-In: Starting at 4:00pm
Deposit Price: $75
Registration Price: $185.00
Contact Information
Name
*
Email
*
This address will receive a confirmation email
Phone
*
Address
*
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What is your age?
*
Please select one option.
18-25
26-35
36-45
46-55
55+
Select Option
18-25
26-35
36-45
46-55
55+
Preferences
Allergies?
*
Please select all that apply.
Gluten Free
Dairy Free
Nut Free
None
Other:
Please Specify
Service and Life Group Info
Do you regularly attend BVCC?
*
Please select all that apply.
Yes
No
If so, for how long?
If you have been involved in a Life Group, which one?
Carpool
Are you interested in carpooling to the retreat?
Please select one option.
Yes - I need a ride
Yes - I am can drive (can transport 1-2 other people)
Yes - I can drive (can transport 3-4 people)
Select Option
Yes - I need a ride
Yes - I am can drive (can transport 1-2 other people)
Yes - I can drive (can transport 3-4 people)
Payment
Payment
Total Amount ($185.00)
Deposit ($75)
Pay By Check (0)
Total Amount ($185.00)
Deposit ($75)
Pay By Check (0)
Amount
Total amount is due by September 15, 2019. We cannot grant refunds for any reason. Sorry for the inconvenience!
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
September 27-29, 2019
Men's Retreat
Alpine Villa Tuscan Retreat Center
Breckenridge, CO
Check-In: Starting at 4:00pm
Deposit Price: $75
Registration Price: $185.00
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