(Please fill in information. Print and mail for registration purposes)

Reminder:  This is not an online form. This must be printed and mailed in for registration.

--------------------------------------------------------------------------------------------------------------------------------------------------------- Please note: Each person will be responsible for their own accommodations and meals. If there is no room at Music Road Hotel (1-800-429-7700),  they will assist you in finding  your accommodations.

 Please enroll me in the MLC Ladies Retreat  November 3th and 4th ,  2023   

Registration fee $100.00 per person.

 Name:    

Address:

City:           State:        Zip:

Phone:                  Church:

Card Number:      Exp. Date:

For more information call:   (706) 581-8582  or (706) 581-2590

Please return and make checks payable to:                      
MLC Retreat
233 Marla Lane
Rocky Face, Georgia 30740                                      Registration must be received by 10/25/2023

For your convenience we accept: