To register for the retreat, print the registration form below, complete it, and then either Mail the
completed form to:
The Samaritan Ministry, Inc.
14811 St. Mary's Ln, #138, Houston, TX 77079
or Fax
it to: 281-589-0520
RETREAT REGISTRATION FORM
Name:
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Address:
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City:
State: Zip:
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Phone:
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Church:
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Charge Cards accepted
#:
Exp.
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Signature:
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This form may be duplicated for additional registrations. |
