2026 ORDINARY HOLINESS Retreat Registration

Retreat Registration Form
Name

First NameLast Name
City & State (no street address required)

Street Address Line 1

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Please provide your phone number.
Email Address

Confirmation EmailType email again. Entries must match.
Choose One
Name of Gift Recipient

First NameLast Name
Address (no street address is required)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Please provide a phone number for recipient.
Please provide an email address for the recipient.

Confirmation EmailEnter email again. Entries must match.
What month would you like to begin the retreat?
If you'd like to join a Zoom conversation with Dan and other participants.
If you'd like to join a Zoom conversation with Dan and other participants
If you'd like to join a Zoom conversation with Dan and other participants
If you'd like to join a Zoom conversation with Dan and other participants
Any other comments or questions?
Retreat Registration
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Registration Fee (per person)

$125.00 Quantity

Total

$0.00

Debit or Credit Card

Choose from one of the PayPal options to make your payment.