Ruth Fellowship Ministries CHOIR RETREAT
Friday, May 29th thru Saturday, May 30th 2015
REGISTRATION FORM
Full Name:
Church Affiliation:
Mailing Address:
City:
State:
Zip:
Email:
 CHOIR
REGISTERING FOR:
 DANCE
Main Phone:
Alternate Phone:
 A1. RETREAT REGISTRATION & LODGING (includes 1 night lodging, dinner & breakfast)
Choose Lodging Option:
Triple Occupancy: $100 per person
Double Occupancy: $120 per person
Deposit of $50.00 towards registration due by March 15
TH
Single Occupancy: $200
(SEE PAYMENT SCHEDULE BELOW)
If choosing double or triple, please include name(s) of roommate(s):
1._______________________________________________________ 2._______________________________________________________
 A2. RETREAT REGISTRATION ONLY (excludes lodging, includes dinner) $60.00 per person
B. RETREAT T-shirt (optional)
Please circle your size:
Registration Fee
T-shirt (optional)
Total amount enclosed
$15
Adults: S
M
L
XL
2XL
st
*Deadline to order T-shirt is May 1
3XL
4XL
$
$
$
 Check
Payment Method: (select one)
 Money Order  Cash (in person only)
Make checks payable to “Ruth Fellowship Ministries” and mail to RFM, P.O. Box 3076, Plainfield, NJ 07063
~Please duplicate this form as needed~
Mail Registration Form with payment to:
Ruth Fellowship Ministries 733 S. 2nd Street, Plainfield, NJ 07060
You can also email registration forms to [email protected]
For more information, please call the church: (908) 412-0500 ext. 5 or Min. Gloria Parker at (908) 422-1738
--------------------------------------------------------------------------------------------------------------------------------------------------------A1 Payment Schedule (after deposit is paid):
add $15 if ordering a T-shirt
April 1st:
April 15th:
May 1st:
May 15th:
Single
$40
$40
$40
$30
Double
$20
$20
$20
$10
Triple
$15
$15
$10
$10