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Serra Retreat
Secular Franciscan Retreat
May 23 - 25, 2008
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Print this form and return with a $50.00 non-refundable
deposit
to Serra Retreat, P. O. Box 127, Malibu, CA 90265
| Name:
___________________________________________________________ |
| Address:
__________________________________________________________ |
| City:
____________________________________ State: ___
Zip: ____________ |
| Name of Parish:
____________________________________________________ |
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Day Phone: _______________________ Eve Phone: ______________________ |
| Amt. Enclosed:
_________________
Check No: _________________________
Credit Card No: _______________________Expiration Date: ________________
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| I prefer a private room [ ] Shared Rm [ ] Name of Roommate: ______________ |
| SUGGESTED DONATION: Private Room: $200.00; Shared Room: $150.00 |
| A confirmation phone call will be made upon receipt of deposit |
| Note: Private rooms are subject to availability |
| Special room requests cannot be guaranteed |
Office: (310) 456-6631 FAX: (310) 456-9417 www.serraretreat.com
