RESERVATION REPLY FORM

ANNUAL ENVOY RETREAT

 Thursday, December 4 – Friday, December 5, 2008

Miramar Retreat Center in Duxbury

MAIL TO:  Massachusetts Council of Churches

                   14 Beacon St., Suite 416, Boston, MA 02108

____  I plan to attend, enclosed is a check for $100.00

Make checks payable to Massachusetts Council of Churches

NAME __________________________________________________

ADDRESS_______________________________________________

______________________________________________________________________

PHONE:  ________________________________________________

EMAIL:  _________________________________________________

Please list any special dietary requirements.