Name (first)
Address
(Phone)
Special Needs (Dietary or other)
Organization you are representing
Registration Fees:
Important Please Read Below:
An invoice will be emailed to you upon our receipt of this registration form:
When making payment by check, please make check payable to MSIDTF (June CISM) and mail to:
MSIDTF
Attention: CISM CLASS
610 Water Street
Biloxi, MS 39530
If paying by credit card please call Marlene Urbani or John Hosey at 228-432-9310 when you receive your invoice.
Questions:
Call John Hosey (228) 432-9310 or (228) 239-2434 you can also email John at jmhosey@msidtf.org
State
City
Zip code
Last Name
Registration Form
June Team Building Clergy Retreat
Solomon Retreat Center
(June 8-9)
Get the Retreat Flier Here
Email
Credentials as you want them on Name Tag
