2025 Couples of Impact Retreat

Husband's Full Name

Wife's Full Name

Mailing Address

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Phone

Alternate Phone

Church Home

PAYMENT PLAN OPTIONS

Payment Plan Options

Option 1 (2-Payments) Option 2 (Monthly) Option 3 (Bi-Weekly) Option 4 (Single Payment)

REFER A FRIEND

Name

Address

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Payment

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

November 7 - 9, 2025

2025 Couples of Impact Retreat "You're Still the One"

Embassy Suites by Hilton Dulles North Loudoun
44610 Waxpool Road
Dulles, VA 20147

Cost: $500/couple
$50 non-refundable deposit due by September 8, 2025
Price includes: 2-night hotel accommodations,
4 meals (full breakfast Saturday & Sunday, dinner Friday & Saturday)

2025 Couples of Impact Retreat

Description

Please Fix the Following