Private Retreat Payment | Benedictine Sisters of Cullman, AL

Private Retreat Payment Form

This form may be used to pay the deposit, outstanding balance, or payment in full for private retreats after the retreat dates have been confirmed. It may also be used to pay for spiritual direction sessions.

"*" indicates required fields

Name*

Prefix First Middle Last

I have confirmed my private retreat dates with the Retreat Center office.*

Yes

No (If selecting "No", please contact the Retreat Center office before completing this form.)

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email*

Phone*

Please provide the best number to reach you:

Preferred name for name badge

Private retreat deposit only

You may pay the $50 deposit here. The balance will be due before or upon arrival.

Private retreat payment in full or balance due

You may pay the entire amount for your retreat here or the balance due if you have already paid a deposit.

Spiritual Direction in Person or Online

After your spiritual direction dates and the amount due have been confirmed, you may pay the amount due here.

Optional donation

If you would like to add a tax-deductible donation to your retreat payment, please enter the donation amount here.

Total

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Cardholder's Address*

Street Address Address Line 2 City State ZIP Code

CAPTCHA

Phone

This field is for validation purposes and should be left unchanged.