ARC

Ecumenical Retreat Center
Response Form

Print and mail to: ARC Retreat Community, 1680 - 373rd Ave. NE, Stanchfield, MN 55080
Phone: 763-689-3540

Name(s): ______________________________________ Phone: (____)_______________

Street Address: ____________________________________________________________

City: _______________________________________ State: _____ Zip: _______________

Special Needs (diet, accessibility, etc.): __________________________________________

PLEASE CHECK APPROPRIATE ITEMS:
___ I am registering for the following retreat(s):
___________________________________ _________________ ________________

Retreat Title

  Retreat Date 

Deposit Enclosed
___________________________________ _________________ ________________

Retreat Title

 Retreat Date 

Deposit Enclosed

($35 per person per night, nonrefundable)

___ I am contributing to the ARC retreat ministry with a gift of $ ______.
___ I am contributing to the scholarship fund with a gift of $ ______.(All gifts are tax deductible.)
___ I am moving. My new address is above.
___ I would like to volunteer on a weekend or weekday . Please call me.

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