ECW LENTEN RETREAT

MARCH 12-14, 2004

TODDHALL RETREAT & CONFERENCE CENTER

COLUMBIA, ILLINOIS

Name:   ____________________________________________________________________

Address:____________________________________________________________________

             ____________________________________________________________________

Phone:   ____________________________________

Church:  ___________________________________________________________________

The cost of the retreat will include either double or single occupancy for two nights, and five meals. The cost for a double occupancy room is $85 and for a single occupancy room, $115. Each room has its own bathroom.

Double Occupancy    _______________

Single Occupancy      _______________

Roommate Request   ________________________________________________________

First Time Attendee   _______________

Dietary Restrictions   ________________________________________________________

Are you a licensed Lay Reader, Chalice Bearer, Lector or Musician?  ___________________

______________________________________________

Would you be willing to help during worship times?            ________________________________

A deposit of $35 is due by February 1, 2004 with your registration form and is nonrefundable. Please make checks payable to EPISCOPAL CHURCH WOMEN. The balance is due upon arrival at the retreat.

Mail reservations along with your check to:

Joan Foster

50 Matterhorn Drive

Glen Carbon, IL 62034

________________ $35.00 Deposit Enclosed