Registration Form
UU PCD Men’s Retreat - Last weekend before Halloween weekend (Oct. 19-21, 2007)

Mark your calendar.   Westminster Center, 512 Hemme St, Alamo, CA 94507

(Fill out and then print or vice versa. Ask your browser to "show only this frame" or "open this frame in a new window" before printing)

Name:   
Church or Fellowship(if any)   
Address   
City    State    Zip
Telephone         E-Mail Address   

 

Registration:
$225.00: Regular Registration
                 (Deposit of $100 for registration with balance due on or before check-in at the retreat)
                 (Includes 2 nights lodging, dinner Friday eve, 3 meals Saturday, and breakfast and lunch Sunday.)


$235.00: Late registration: (If paid after October 1)

$199.95 if you bring a new member (The new member pays the regular rate)

$_____  Support a brother?  Even an extra $20 can help support a brother who might not otherwise attend)

=========

$______Total Enclosed  (Make checks payable to "PCD" and please note "for Men’s Retreat’)

Special Food Needs?  Vegetarian    Vegan    Omnivore     Other   

(specify if there are any foods you cannot eat) _________________________
Additional Special Needs? ____________________________________________________________

Carpooling: I am willing to give a ride to men from my area.  Yes    No  

I could use a ride. Yes    No  
(a contact name / phone number will be sent to you if you need a ride)

Program: Registration begins 4:30 P.M., Friday; Buffet dinner 5:30 P.M.
Program starts 6:30 P.M. Friday,  Program concludes 2:00 P. M. Sunday

Evangelize! (Absolutely no need to be Unitarian)
Below, please list other men that you know who may be interested in attending.

Name: ___________________ phone: (___) _____-______ e-mail: _______________
Name: ___________________ phone: (___) _____-______ e-mail: _______________
You may forward this information to the above. We will contact them.


For more information contact Ed Massey, at massey1281@yahoo.com or (408) 297-9478

Return this form with your check to:
PCD Men’s Retreat, c/o Ed Massey, 1281 Fremont Street, San Jose, CA  95126