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




FELLOWSHIP FARM
2488 Sanatoga Road
Pottstown, PA 19464
FAX #: 610-970-6889
E-Mail: info@fellowship-farm.org



Name:____________________________________________________________________________

Address:__________________________________________________________________________

City:_______________________________________ State:____________ ZIP Code:___________

Telephone: ________________________ Email:__________________________________________

Organization: ______________________________________________________________________

Your Position/Title:_________________________________________________________________

Date(s) Requested: __________________________________________________________________

Approximate Size of Group: _____________________________________________________________________