WA Chaplains Retreat Rego 2023 WA Chaplain Retreat Booking Form "*" indicates required fields First Name*Surname*Address*Suburb*Postcode*Email* Enter Email Confirm Email Phone*DenominationChurch AttendedWould you like a single or shared room?Single Room - $310Shared Room - $210If sharing a room, is there someone you would like to share with?Retreat Fees*Retreat Single RoomCA Members - Single RoomRetreat Fees*Retreat Shared RoomCA Members - Shared RoomPlease list any Dietary requirementsADMIN CODE Admin team onlyTotal Credit CardCard Details Cardholder Name Δ
