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00 50. 00 MAKE CHECK PAYABLE TO MATT TALBOT GROUP 106 Space is limited First Received - First Served MATT TALBOT RETREAT SCHOLARSHIP FUND The Matt Talbot Group 106 Scholarship Fund has been established to cover 50 of the Retreat cost and to help those men who cannot afford to attend without financial assistance. MATT TALBOT GROUP 106 MEN S RETREAT DATE TIME May 6-8th 2016 4pm Friday to 12 noon Sunday PLACE OUR LADY OF FLORIDA SPIRITUAL CENTER 1300 US HIGHWAY 1 NORTH PALM BEACH FLORIDA 33408 RETREAT LEADER Dr David Sutton OFFICERS CHAIR-STEVE WITMER VICE-CHAIR-GUY BADGER TREASURER-BILL LEARY SECRETARY-LES BUETTNER COST DEPOSIT 195. To apply call Les 941-786-7172 scholarship requests only Saturday Night Social Anniversaries/Raffle To register please mail completed form along with your Deposit to Les Buettner 4285 Via Del Villetti Dr Venice FL 34293-7060 Is this your first Matt Talbot Retreat Yes No Name Street Address City State and Zip Phone Email Please Select Menu Option Meat Sobriety Date Veggie There is a refrigerator available for any special dietary needs AA Home Group Special Needs Handicap Access Ground Floor Share Room With If you want to room with a friend you must send registration and deposit together. First Received First Served Confirmation made by email Balance paid at door Check or cash only If you are unable to attend please email MattTalbot106 gmail*com ASAP so men on the waiting list will have the opportunity to attend. To receive a refund you must contact Les two weeks prior to the Retreat. Non-refunded money will be used for scholarships. To apply call Les 941-786-7172 scholarship requests only Saturday Night Social Anniversaries/Raffle To register please mail completed form along with your Deposit to Les Buettner 4285 Via Del Villetti Dr Venice FL 34293-7060 Is this your first Matt Talbot Retreat Yes No Name Street Address City State and Zip Phone Email Please Select Menu Option Meat Sobriety Date Veggie There is a refrigerator available for any special dietary needs AA Home Group Special Needs Handicap Access Ground Floor Share Room With If you want to room with a friend you must send registration and deposit together. First Received First Served Confirmation made by email Balance paid at door Check or cash only If you are unable to attend please email MattTalbot106 gmail*com ASAP so men on the waiting list will have the opportunity to attend. First Received First Served Confirmation made by email Balance paid at door Check or cash only If you are unable to attend please email MattTalbot106 gmail*com ASAP so men on the waiting list will have the opportunity to attend. To receive a refund you must contact Les two weeks prior to the Retreat. Non-refunded money will be used for scholarships. To apply call Les 941-786-7172 scholarship requests only Saturday Night Social Anniversaries/Raffle To register please mail completed form along with your Deposit to Les Buettner 4285 Via Del Villetti Dr Venice FL 34293-7060 Is this your first Matt Talbot Retreat Yes No Name Street Address City State and Zip Phone Email Please Select Menu Option Meat Sobriety Date Veggie There is a refrigerator available for any special dietary needs AA Home Group Special Needs Handicap Access Ground Floor Share Room With If you want to room with a friend you must send registration and deposit together. First Received First Served Confirmation made by email Balance paid at door Check or cash only If you are unable to attend please email MattTalbot106 gmail*com ASAP so men on the waiting list will have the opportunity to attend. To receive a refund you must contact Les two weeks prior to the Retreat. Non-refunded money will be used for scholarships.

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