Fields marked with * are Required

PLEASE NOTE: This form is for reserving housing only. It does not register you for the Pre-Retirement Seminar. You must register for the seminar separately at www.pensions.org or call the registrar at 800-773-7752 ext. 7225.

Once you have completed the following form, we will mail you a confirmation with payment instructions.  Payment will be required within 10 days of receipt or your reservation will be cancelled.  Please contact Montreat Central - (800) 572-2257, ext. 339 if you have any questions.
Online housing reservations are available for residents of US and Canada only.
First Name *
Last Name *
Name for Name Tag *
Address *
City *
State/Province *
Zip *
Country *
Home Phone *
Work Phone
Email *
Add me to your E-News list! Because of spam blocking, please add merrib@montreat.org to your address book
Local Church
Church PIN Number

(available at your church office)

Presbytery *
Emergency Contact Name *
Emergency Contact Phone *
This is my first Montreat conference * Yes   No

Housing and Meals Information

Package rates for Assembly Inn are per person and include all room/meal charges (Monday supper - Wednesday Lunch) for the entire conference.  No adjustments will be made, except for extended stay. Child care is not available for this program.
Please Reserve This Many Rooms
Assembly Inn

Single occupancy, Private Bath: $235.00
Double occupancy, Private Bath: $314.00
Single occupancy, Connecting Bath: $197.00
Double occupancy, Connecting Bath: $294.00
If my first choice cannot be accommodated, please: Assign me to the best available housing ( Connecting bath acceptable)
Return my housing deposit and place me on a waiting list
I would like a Male Roommate    Female Roommate
Note: If a roommate cannot be assigned, you will be responsible for the single rate
...or I would like to room with
Arrival Date
Departure Date

Payment Information
   I understand I will be receiving a confirmation and a $40 per person deposit will be due within 10 days of receipt or my reservation will be cancelled.

Other Information
   I understand that this form does not register me for the Pre-Retirement Seminar. I must register at www.pensions.org.
Special Requests or Questions:
If you do not receive an online confirmation screen when you hit "Submit", your registration did not go through.  If this happens, please e-mail: webmaster@montreat.org