Marrieds Ministry Registration 2018 | Bronx Bethany Church of the Nazarene

2018 Married Retreat Registration Waitlist Form

* First and Last Name of Husband and Wife
* Address
* City
* State
* Zip Code
* Phone
* Email
* Wedding Date
* Is this your first time at a BBCN Married Retreat?	Yes No
How did you learn about the retreat?
* What are the t-shirt sizes for you and your spouse?

	Payment Information: Program fee $350 and Accommodation is $300 (average $150 per night). Please apply the program payment using the "Make your payment here" option above.
	Secure your hotel accommodations by going to www.wyndham.com/southbury using group code 042418BRO
* Payment amount & comments:
After submitting your registration you will receive a confirmation email. If you do not receive a confirmation email, your registration was not successful. Please retry or email/call Noel Brown at 914-310-6402/noelcbrown@gmail.com or Collette Brown at 914-263-4266/doncollb@hotmail.com.
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MAKE YOUR PAYMENT HERE

Click here to make your program payment of $350

Select this option to be directed to the Bronx Bethany Church of the Nazarene Give Online payment page. Enter your payment amount in the Marriage Ministry box and select continue. Once payment is submitted, you will receive a payment confirmation email.