2024 PASTORS RETREAT REGISTRATION
WHEN: Sunday, 10/20, 5:00p to Tuesday, 10/22, noon.
WHERE: Hilton Suites Oceanfront, 3200 N. Baltimore Ave., OC, MD (overnights); DoubleTree by Hilton Ocean Front, 3301 Atlantic Avenue, OC, MD (program)
Please complete registration and "Submit"
Name
*
Email
*
This address will receive a confirmation email
Ecc Designation
*
Please select all that apply.
NCP Minister Member
NCP CRE
Phone
*
Address
*
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Church/Ministry
*
Family Member Name, if applicable
*
Scholarship Request (for reimbursement 2-3 weeks after participation)
*
Please select all that apply.
Yes
No
Payment
Pastor full participation ($150.00)
Pastor participation and meals; no overnight ($100.00)
Pastor and family member (225.00)
Pastor full participation ($150.00)
Pastor participation and meals; no overnight ($100.00)
Pastor and family member (225.00)
Amount
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
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AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
WHEN: Sunday, 10/20, 5:00p to Tuesday, 10/22, noon.
WHERE: Hilton Suites Oceanfront, 3200 N. Baltimore Ave., OC, MD (overnights); DoubleTree by Hilton Ocean Front, 3301 Atlantic Avenue, OC, MD (program)
Please complete registration and "Submit"
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