Payment information:    NC Layman's Retreat Registration Form 2008 - Ridgecrest North Carolina (Please Print form.) Make checks payable to NC District Layman's Retreat. Send form with $35 per person deposit to: Chris and Kathy Underhill 103 Angus Ct. Cary, NC 27511 JChris50@nc.rr.com Name: (As you want your nametag to read) _________________________________________________________________ Address ___________________________________________________________________ City ______________________________________________________________ State ____ Zip _______ E-mail address _______________________________ Phone # (home) _____________________ (work) __________________________ Local Church________________________________________________________ Please place an X beside the correct information Please indicate: Single Occupancy (No Roommate) ______ Double Occupancy _____ (Have Roommate) Name_______________________________ Double Occupancy (Request Roommate) _________________ Couple _____________ Spouse’s name _____________________________________ Triple Occupancy ____ (Roommates): 1.__________________2._________________ Quad Occupancy ____ (Roommates): 1._________________ 2._________________ 3._________________ Special Needs: _________________________________________________________________________________________ __________________________________________________________________________________________________________________________________ 1st time attendee _____ (You will receive $25 off the total cost of retreat.) For registrar only: (Request roommate) Assigned Roommate ___________________________________ Please feel free to photocopy to share with your friends.