Couples Retreat

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Love Beyond Measure

Couples Retreat September 29-October 1, 2017 at the Blue Gate Garden Inn, Shipshewana, IN with Rev. Dr. Todd Biermann Name of Couple: ___________________&______________________________________________ Husband

Wife

Last Name

Address: _________________________________________________________________________ Phone: ___________________________ E-mail: _________________________________________ Church: __________________________________________________________________________ Name

City, State

Wedding Anniversary ______ / ______ / ____________ As of September 29th we will have been married __________ years Briefly describe how / when you met each other __________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ Do you have any special dietary needs? ________________________________________________ What type of wine do you prefer? (Please choose one) ____ Sweet White Registration Fee

____ Sweet Red ____ $75 / Couple

(Pay St. John) Make checks payable to

____ Dry White ____ $25 / Couple (Wyneken faculty/staff discount)

“St. John Lutheran Church”

____ Dry Red

Total: $

.

Memo: “Couples Retreat”

Accommodations We plan to stay... ____ 1 Night ($122) ____ 2 Nights ($244) ____ Saturday’s Seminars Only All hotel reservations need to be made by contacting the Blue Gate Garden Inn directly. Call 1-800-545-4725 and ask for the “St. John Lutheran” block. St. John Lutheran Church † Bingen www.stjohnbingen.com



11555 N. US Highway 27, Decatur, IN 46733



(260)-639-6178

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