Interested in writing a check for either event? Please make check payable to the METROPOLIS OF ATLANTA and put in the memo: DIAKONIA RETREAT CENTER for the event on 11/7 or put ARCHANGEL MICHAEL for the event on 11/8.

Please print out the following form and send it along with your payment to:

Metropolis of Atlanta

2480 Clairmont Road NE

Atlanta GA 30329

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

City and State of your Parish

If you are a sponsor, how do you want your name listed in the program book?

Amount of Check

Check Number

If you wish to be seated with family or friends, please list their names below

please include your name as part of the 10. Limit of 10 people per table.

Person 1

First Name

Last Name

Person 2

First Name

Last Name

Person 3

First Name

Last Name

Person 4

First Name

Last Name

Person 5

First Name

Last Name

Person 6

First Name

Last Name

Person 7

First Name

Last Name

Person 8

First Name

Last Name

Person 9

First Name

Last Name

Person 10

First Name

Last Name

The Greek Orthodox Cathedral of the Annunciation

The Greek Orthodox Metropolis of Atlanta