Serra Retreat
L. A. County Sheriffs
September 28 - 30, 2007
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REGISTRATION FORM - 2007 |
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Serra Retreat, P.O. Box 127, 90265 (310) 456-6631 FAX: (310) 456-9417 |
| Name/Date: L. A. County Sheriffs Sep. 28 - 30, 2007 Amount Enclosed:____________ |
| Name: _____________________________________________________________________________________ |
| Address: ___________________________________________________________________________________ |
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City: ___________________________________ State: ____ Zip: _____________________________________ |
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Name of Parish: ____________________________________________________________________________ |
| Telephone (Day): ________________ Telephone (Evening) _______________________________________ |
| I would like a Private Rm:
__
Shared Rm: __ Roommate Name: _________________________________
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| SUGGESTED DONATION: Private Room: $200.00; Shared Room: $150.00 |
| (Note: Private rooms are subject to availability on a first-come first-serve basis} |
| $50.00 non-refundable deposit required to reserve a room. |
| Payable to Serra Retreat, P. O. Box 127 Malibu, CA 90265 |
| Checks and credit cards (Visa, MC, and Discover) accepted. |
| A confirmation phone call will be made upon receipt of deposit |
| Visit our Website: Our address is www.serraretreat.com |