WA Chaplains Retreat Rego 2022 (1) WA Chaplain Retreat Booking Form First Name* Surname* Address* Suburb* Postcode* Email* Enter Email Confirm Email Phone*Denomination Church Attended Would you like a single or shared room?Single Room - $310Shared Room - $210If sharing a room, is there someone you would like to share with? Retreat Fees*Retreat Single RoomCA Members - Single RoomRetreat Fees*Retreat Shared RoomCA Members - Shared RoomPlease list any Dietary requirements ADMIN CODE Admin team onlyTotal $ 0.00 Credit CardCard Details Cardholder Name Δ
