Registration for Advent Retreat
Mail this registration form by November 1, 2012, with full fee or $100 deposit to:
Carol Saysette, 193 W. Blithedale Avenue, Mill Valley, CA 94941
Checks should be made out to PCSF.
PROGRAM ADVENT RETREAT, December 6 – DECEMBER 8, 2013
NAME (s) _______________________________ EMAIL _______________________________
STREET ADDRESS ___________________________________________________________
CITY _________________________ STATE ______ ZIP CODE ______________
PHONE(s) __________________________ _____________________________
HOUSING PREFERENCE (circle one): SINGLE ($335); DOUBLE ($285)
FEE or DEPOSIT, ENCLOSED $ __________
DONATION TO THE SCHOLARSHIP FUND, ENCLOSED $ _____________