Miramar Retreat Center SPECIAL RETREATS RESERVATION and PAYMENT Forms
IMPORTANT: ALL INFO MUST BE FILLED IN
Enter Retreat Date: (Required)(mm/dd/yyyy)
Would you like to be placed on a waiting list if the retreat is full? Yes No
Is this a New Address? Yes   No
Name: (Required)
Address: (Required)
City: (Required)
State: (Required)
Zip: (Required)
Telephone: (Required)
Cell Phone:
Email: (Required)
Single Room:  (Please select one)  Yes  No
Do You Need a First Floor Room?  Yes:  No:
Name of Emergency Contact: (Required)
Emergency Contact Telephone: (Required)
1. MAKE YOUR SELECTIONS. 2. SUBMIT YOUR RESERVATIONS. 3. MAKE YOUR PAYMENT.
2010 SPECIAL RETREATS
	"HAUNTED BY GRACE: CELEBRATING THE WORKINGS OF GOD'S SPIRIT", November 5-11, 2010
2011 SPECIAL RETREATS
	THE HEART OF CREATIVITY: CONTEMPLATION, ART AND MYSTERY - January 21-23, 2011
	MY ONE WILD AND PRECIOUS LIFE - January 28-30, 2011
	THE KINGDOM OF GOD: THE MESSAGE OF JESUS TODAY - July 24-30, 2011
SUBMIT RESERVATION:   ( Please click Submit Reservation NOW BEFORE making payments.)
PAYMENTS Click on shopping cart. Payment page will open in a new window. "HAUNTED BY GRACE: CELEBRATING THE WORKINGS OF GOD'S SPIRIT" - November 5-11, 2010 - $100-Deposit - $500-Full Payment THE HEART OF CREATIVITY: CONTEMPLATION, ART AND MYSTERY - January 21-23, 2011 - $50-Deposit - $230-Single Room - $175-Double Room MY ONE WILD AND PRECIOUS LIFE - January 28-30, 2011 - $50-Deposit - $230-Single Room - $175-Double Room THE KINGDOM OF GOD: THE MESSAGE OF JESUS TODAY July 24-30, 2011 - $75-Deposit - $385-Full Payment
If your application and deposit have been received and rooms are still available, we will make a reservation. Otherwise, we will contact you to consider another date or your payment will be refunded. FOR MORE INFORMATION CALL: (781) 585-2460 FAX: (781) 585-3770 E-MAIL: miramarma@aol.com RETURN TO MIRAMAR HOMEPAGE