Please enable JavaScript in your browser to complete this form.Registration for PAIG Retreat 2023 Fill out the form fields below to register for PAIG's in-person retreat at the Malvern Retreat House, September 22-24, 2023. Asterisked fields are required.Your Info:Name *FirstLastEmail *Phone *Location (City, State)Roommate *I already have a roommatePlease assign me a roommateI'm rooming with (enter roommate's name):Cost:Cost per person, double occupancy *Price: $290.00Includes 2 nights accommodations, double occupancy and 5 meals (Breakfast, Lunch and Dinner on Saturday; Breakfast and Lunch on Sunday)Would you like to contribute to the Retreat Scholarship Fund? The fund helps others who cannot afford to attend.YesScholarship DonationTotal$0.00Payment:Please indicate your intended payment method *Credit Card (secure transaction via Stripe)Check (MUST be postmarked by September 8, 2022)Please enter your credit card info below.Stripe Credit Card *CardName on CardIf you plan to pay by check, please make your check payable to PAIG OA and send it to: Shari Basch 2717 Susquehanna Rd Abington, PA 19001 Checks need to be postmarked by September 8, 2023.Need Financial Assistance?If you're not able to afford the cost, please add a note below. You'll be entered into a drawing for a scholarship to attend the retreat at no charge. Scholarships are limited. PAIG makes no guarantee for scholarship awards.Note: If you are requesting financial assistance, please select "Check" as the payment method above.Other Info:Are you a newcomer (within first year of Program)?YesIs this your first OA retreat?YesDo you have any physical disabilities or challenges? If yes, please describe below.Service:Are you willing to be of service? If yes, indicate your interest.Workshop Leader / Speaker (minimum of 3 months abstinence required)Registration / Craft Table / Other (no abstinence requirement)Want to participate in the Fashion Show on Saturday night?Yes, I want to show off my wares!MaybeGot talent?Yes, I want to partake in Saturday night's Talent Show!MaybeDescribe your talentPlease be patient and do NOT refresh your browser after you click on Submit. If you have any questions or problems registering, please send an email to PAIGRetreatTreasurer@gmail.comSubmit
