Retreat Registration & Payment Form

PRINT this page, complete the form and mail with payment to one of the addresses at the bottom of the page.
REGISTRATION:  I am registering for the retreat at (Location and Date):  __________________________________
Are you attending the Rhode Island retreat?  Sunday 6 PM arrival is optional for those with long travels who
may arrive by 9 AM on Monday.           Check Here  ______   if you will arrive for the RI retreat on Sunday at 6 PM.
.                                                           Check Here  ______   if you will arrive for the RI retreat on Monday at 9 AM.
Your Name:__________________________________________________________________________________
Address:____________________________________________________________________________________
Phone: _____________________  Cell:_______________________  Email: ____________________________
Special food or health requirements/needs/allergies: ________________________________________________
Special needs or expectations:__________________________________________________________________
____  I understand that Brother and Sisters of the Way is a community with year-long privileges and expectations!
Your Sponsor (if this is your first retreat)  ________________________________________________________
Emergency Contact:  Name:____________________________________  Phone/Cell ______________________

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2019 Dues:    Regular member dues  $20                                                                                   ________
.                          First Timers exempt
.                          Not required of members 75 and over who choose to be Emeritus member.
.                     Past Dues  (Please see your BSOW 2019 Update)                                               ________
Retreat Fee:  (pick one from the list below and enter the amount here)                                       ________
.                      First Timer (for any retreat) $50
.                      Second and following retreats:
.                             _____ Rhode Island $150
.                             _____ Maine (1st & 2nd week) $150
.                             _____ Ohio $250
.                             _____ West Virginia $225
Total                                                                                                                                             ________

.             Please mail completed REGISTRATION together with a check made payable to BSOW to….
.     For Maine and RI:    Bro. David Andrews, 281 Washington St. Ext., Middlebury, VT 05753  Tel. 802-388-4894
.     For Ohio:                 Bro. Jerry Fritz 225 West Main St., Andover, OH  44003, Tel. 508-627-0970
.     For WV:                   Bro. Robert Rock, 7401 Willow Rd., #228, Frederick, MD 21702