DLCMCDC Family Retreat

DLCMCDC Family Retreat - July 8 to July 9, 2011 – 9 Years of great family experience

MARRIED COUPLE Full Package $350.00 Your Name: _________________________________________ Date:		Spouse name: _____________________________________ Date:
DOB___ _____ ______ Work #______ _______________		DOB___ ___ ___ Work # ____ ____________
Address: _____________________________________________________________ H. Phone #____ __________ Full Package: Registration $100.00 __ 2 days and 1 Night/Hotel, 1 Dinner, 1 breakfast plus Services: 250.00 / couple __ Full Package__ Options 1 __ 2 __ 3 __ 1. Friday Night Banquet and Gala Night only: $150/Couple _____________ 2. Friday night Hotel/Banquet/Gala Night, NO Saturday breakfast, Conferences and Heartfelt Ceremony: $300.00/Couple 3. Saturday Conferences, Heartfelt Ceremony, Renewal of Vows and Re-consecration only: $200.00/Couple Sign here: Husband ___________________Wife ____________________ Date:
*Single Parent and Single young Adult $200.00 $125.00** Full package $200.00: ___ Options A __ B __ C __ 1st Single Parent/Single young adult Full Package: $200.00, Additional person/s (same room): $125.00* each
Emergency Contact: _______________________________ Relation : _______ Phone #: ____ ____________________ Youth name : _____________________________________ Single Parent Name: _______________________________ Home Phone # ____ ___________Work #____ __________ Address: ________________________________________ ________________________________________________ Sign here: ______________________ Date: ___________ Your comment is very important to us. Please tell us about your experience: ______________________________________________ ______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________	* Additional Person $125.00 each __ Attach name/s, same sex please 1. ___________________________________ 2. ___________________________________ 3. ___________________________________ A. Friday: Banquet/Gala Night: $75.00/person __ B. Friday night Hotel/Banquet/Gala Night, NO Saturday breakfast, Conferences and Heartfelt Ceremony $199.00/person C. Saturday Conferences, Pitfalls to avoid, and Provisions: Enjoy life to the fullness without shame - Get prepared for your best TOMORROW only: $100/person Remember that, God loves you unconditionally. He makes provisions to better yourself. DLCMCDC FAMILY MINISTRIES is there for you!

We honor: Personal checks, Money orders, Traveler checks, Certified checks, or pay online at WWW.DLCM.NET with American Express, Discover, Master, Visa and Paypal - Full payment must be received by April 01, 2011; otherwise, contact the President, Dr. Daniel Laurent for special concerns. No one stays behind. Cancellation must be done two month prior to the Event.

Ladies and Gentlemen, Churches and Communities, the choice is yours to update your life, your blue print for tomorrow or your marital value. Let’s go for a refill. And you must do so at least once a year. Remember that: Good life, good family equal (=) good society. To register, write to the address below; include your name/s, home telephone number and address, write your check or money order payable to DLCMCDC FAMILY RETREAT 2011.

Rev. Cardy Nicolas, General Secretary and Treasurer, Pastor of Revelation Church Norristown PA: pastor@revchurch.org