2018 Flourish Spring Retreat
First Name
*
Last Name
*
Email Address
*
Mobile Number
Please choose a provider
AllTel (USA)
Ameritech (USA)
AT&T (USA)
Beeline (Russia)
Bell Atlantic
Bell Mobility (Canada)
Bellsouth Mobility (USA)
BlueSkyFrog (Australia)
Boost Mobile (USA)
Bouygues Telecom (France)
BPL Mobile (India)
Cellcom
Centennial Wireless
Cincinnati Bell Wireless
Claro (Brazil)
Claro (Nicaragua)
Comcast PCS
Cricket
C-Spire (USA)
E-Plus (Germany)
Etisalat (Arab Emrates)
Fido (Canada)
Free Mobile (France)
Helio
Longlines (USA)
M1 (Singapore)
Manitoba Telecom Systems (MTS) (Canada)
Metro PCS (USA)
Mobistar (Belgium)
Mobitel (Sri Lanka)
Movistar (Spain)
MTN (South Africa)
Nex-Tech Wireless (USA)
Ntelos (USA)
o2 (Germany)
o2 (UK)
Optus (Australia)
Orange (India)
Orange (Netherlands)
Orange (France)
Orange (UK)
Powertel
PSC Wireless
Qwest (USA)
Rogers Wireless (Canada)
Sasktel (Canada)
SFR (France)
SMS Global (Australia)
Southern LINC
Sprint PCS (USA)
StarHub (Singapore)
SunCom (USA)
T-Mobile (USA)
T-Mobile (Austria)
T-Mobile (Germany)
T-Mobile (Netherlands)
T-Mobile (UK)
Telefonica Movistar (Spain)
Telus Mobility (Canada)
Tracfone
US Cellular (USA)
Verizon
Virgin Mobile (USA)
Virgin Mobile (Canada)
Vodacom (South Africa)
Vodafone (Germany)
Vodafone (Italy)
Vodafone (Chuugoku)
Vodafone (Hokkaido)
Vodafone (Hokuriko)
Vodafone (Kansai)
Vodafone (Kanto)
Vodafone (Koushin)
Vodafone (Kyuushu)
Vodafone (Niigata)
Vodafone (Okinawa)
Vodafone (Osaka)
Vodafone (Shikoku)
Vodafone (Tokyo)
Vodafone (Touhoku)
Vodafone (Toukai)
Vodafone (Spain)
Vodafone (Italy)
Vodafone (UK)
Vodafone (New Zealand)
Mailing Address
Mailing City
Mailing State
Mailing Zip Code
Which type of accommodations would you prefer?
Ataloa Cabins (3-4 women in each cabin, bunk beds with private bath)
Holt Lodge (2 women per room, shared bathroom in hallway)
No preference
Roommate Preference or you can leave it blank and we'll assign you to a room
Dietary Restrictions
Cost is $160 per person for the retreat, $50 holds your spot. Balance must be paid in full by April 15th. $10 discount if paid in full by March 4th. Please let us below:
*
I have paid in full (please note retreat on your check and place in black giving box)
I have paid in full online (http://mylifechurch.com/givecontact)
I have put in my $50 deposit
I will pay my $50 deposit ASAP
Submit