(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 her own accommodations and meals. If there is no room at Music Road Conference Center (1-800-429-7700),  they will assist you in finding  your accommodations.

 Please enroll me in the MLC Ladies Retreat     

Registration fee $70.00 per person plus $30.00 for Smith Family Theater Christmas Show/Dinner

 Name:    

Address:

City:           State:        Zip:

Phone:                  Church:

Card Number:      Exp. Date:

For more information call:   Day:  (706) 226-3312   Night: (706)673-2021

Please return and make checks payable to:                       Please send one registration form per person!
MLC Ladies  Retreat                                                
233 Marla Lane                         
Rocky Face, Georgia 30740                                                                                                    

For your convenience we accept:                                Registration must be received by: 10/01/10