Registration and Dues – 2015 Retreat

Mid-Atlantic Chapter

Sept. 7-11

Retreat Director: Rev. Bro. Wayne D. Sauter, Prior

 

Retreat Cost: $250 (double occupancy); $100 first time retreatants    $_____________

Annual Dues: $20 (1st time retreatants exempt)            $_____________

            (Payable by Able and Ordinary members)

            ($10 for the Order, $10 for the Chapter)

 

Scholarship Contribution:                                                             $_____________

            (A voluntary donation to assist brothers and sisters with financial need.)

 

TOTAL ENCLOSED:                                                            $_____________

 

____I have special dietary needs (please specify)

 

Make checks payable to: Brothers and Sisters of the Way

Mail to:            Rev. Bro. Robert Rock, Treasurer Pro-Tem

                        9320 Rocky Ridge Road

                        Rocky Ridge, MD 21778

                        301- 271-4448

                        Pastor Bob@saurette.com

Name:___________________________________

Address:_________________________________

               _________________________________

Telephone:_______________________________(home)

                    _______________________________(office)

                    _______________________________(cell)

E-mail:___________________________________