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First Name
Last Name
Address
City
State /Province Zip Code
Country (if not in the US)
Gender
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Male
Female
Family
Phone
E-mail
Guest Names
(please include ages for all children under 18)
I am visiting for a ...
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Week of Prayer
Challenge
Ladies' Retreat
Summer Conference
Leadership Conference
Personal Visit
Arrival Date
Arrival Time
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morning
afternoon
evening
Departure Date
Arrival Time
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morning
afternoon
evening
Overnight Accommodations:
Includes all meals
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1) Guest House :queen bed, private bath
2) New Yorker, Jersey Manor, Penn House: dormatory style room, shared bath
3) RV Site: water, electric and sewer hookup
4) No overnght accommodations needed
Please contact me regarding transportation to or from Bethany
All transportation requests must be received at least three days before arrival.
Accommodation Limitations:
Explain any special needs, such as limited use of stairs.
Comments or Questions?
All guest fees must be paid upon arrival at registration.