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Flexible Dates

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People in your group

Guest 1		Email*
Guest 1		Email*

Retreatant Information

Group Name *
Contact Person *
Title
Address
Address 2
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Country
Country
Email *
Phone
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Second Phone
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Comments or Special Needs
Group Size	How many people will you be bringing to our Center?
SRC Email newsletter	Please send me St. Raphaela Center's newsletter
Group Guidelines	I have read and agree to the responsibility for my group following the Center's group guidelines.Please read the Center's Group Guidelines

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$	St. Raphaela Center Donations contribute to the maintenance of the Center and its mission.
$	Retreatant Scholarship Program Provide the opportunity for others to experience a retreat for whom this would otherwise not be possible.
$	Add 3% to my total amount to help cover the bank fee for processing my credit card. Add 3% to my total amount to help cover the bank fee for processing my credit card.