Fellowship Farm - Retreat Information Request Form
Please mail or FAX this form to:



Retreats
FELLOWSHIP FARM
2488 Sanatoga Road
Pottstown, PA 19464
FAX #: 610-970-6889



Name:____________________________________________________________________________

Address:__________________________________________________________________________

City:_______________________________________ State:____________ ZIP Code:___________

Telephone: ________________________ Email:__________________________________________

Organization: ______________________________________________________________________

Your Position/Title:_________________________________________________________________

Dates Requested: __________________________________________________________________

Size of Group: _____________________________________________________________________