Your name:
Your address:
Your phone number:
Your email address:
Referred By:
How did you hear about
Crop till you drop Retreats?
(friend, magazine, website)
Pricing:
$40 per person
(Rate includes lunch, dinner, door prize, raffle prizes,
and plenty of uninterrupted time to work on your
craft projects. All crafters welcome!!
Payment Options:
Pay in full
Payment Method:
Choose from below
Paypal (After registering, return
to "Make a Payment" Page

Check (Made payable to Crop till
you drop Retreats)
Deposit &
Cancellation:
Fundraiser fees are non refundable.
Comments:
Crop till you drop Retreats
Crop out Diabetes Crop Fundraiser
Benefiting Active 4 Diabetes Foundation
August 20, 2011
St. Marks Hall
Crockett, CA