REGISTRATION FORM


Register for a getaway in three easy steps: 1. Select your Weekend to Remember® getaway location. 2. Register with FamilyLife online at FamilyLife.com/Weekend or by phone at 1-800-358-6329. To register by mail, complete the registration form below and mail to FamilyLife, P.O. Box 241910, Little Rock, AR 72223.


3. Reserve your hotel room. Enhance your weekend experience by staying in the getaway hotel. Mention “FamilyLife’s Weekend to Remember,” to receive our discounted room rate. You can contact the hotel directly at the number in this brochure or book online a minimum of three weeks prior to the event.


Site Code


Event City (required) Your Last Name


Street Address City


Primary Phone Number


His E-mail Address Your Church’s Name


Regular Registration, $318 Per Couple Group Registration. Group Name:


Home Work Her E-mail Address Church City Share It, $199 Per Couple


Group, $159 Per Couple* Other Rate. Promo Code:


Payment type (circle one) Visa | MasterCard | Discover | AMEX | Check (Make payable to FamilyLife.) Expiration (mm/yyyy)


Credit Card Number Signature


Enclose this form with payment in a stamped envelope addressed to: FamilyLife, P.O. Box 241910, Little Rock, AR 72223 *Share It and Group rates only apply when inviting others to Weekend to Remember. Code is required. See Web site for details or call 1-800-358-6329.


Enter total here $ Church State Are you registering as a married couple? His First Name State yes no (If no, please complete separate registration forms.) Event State (required) Event Date (required) Her First Name ZIP/Postal Code


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