Extended or Additional Stay Request Form - Shepherd's Refuge - Selah Ministries

Extended or Additional Stay Request

Please provide details regarding your request for an extended stay beyond 7 nights (maximum 14 nights), or a second stay within 12 months. Requests are granted exceptionally by our Board. You will be notified of their decision within three (3) working days. Blessings!

First name(*)

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Last name(*)

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Spouse's first name

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Email address(*)

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Please provide your requested dates:

Arrival:(*)

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Departure:(*)

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Preferred Accommodation(*)

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Please explain your reason for this request(*)

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What are the spiritual expectations of your visit?(*)

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Please provide information about your church/ministry:

Church/Ministry name(*)

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Church/Ministry website(*)

Please provide a valid website.

Your position(*)

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Mailing address(*)

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Extended or Additional Stay Request

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