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HARTFORD MEMORIAL
BAPTIST CHURCH

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Home
About Us
- History
- Pastor
- Team
- Church Covenant
Engage
Give
- Why Give?
- Give Now
Pray
Contact

Home
About Us
- History
- Pastor
- Team
- Church Covenant
Engage
Give
- Why Give?
- Give Now
Pray
Contact

2025 Retreat Partial Registration

2025 Retreat Partial Registration

2025 Retreat Payment - Partial Payments

"*" indicates required fields

Today's Date

Separate tags with commas

Occupancy*

Single

Double

Deposit Amount (Non-Refundable)*

Primary*

First Last

Phone*

Email*

Select One*

Member

Non-Member

Roommate Name

First Last

Roommate Phone

Roommate Email

Select One

Member

Non-Member

Options

I need a roommate

I will require a wheelchair accessible room.

I will require transportation while on-site.

I will require transportation to the facility.

With transportation i will have supportive equipment.

Please list any Special Needs

Paid for (name):*

Total Billable

Credit Card

American Express

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MasterCard

Visa

Supported Credit Cards: American Express, Discover, MasterCard, Visa

Card Number

Expiration Date Month Year

Security Code Cardholder Name

HARTFORD MEMORIAL
BAPTIST CHURCH

18700 James Couzens
Fwy Detroit, MI 48235
(313) 861-1285

ABOUT US
GIVING
AM DEVOTIONALS

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