Manifesting Change 1 Day Retreat Registration
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Retreat Date:
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Last  name:
Email:
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Number of People in Your Party
Please let us know the names of others in your party.  Each of them needs to fill
in one of these reservation forms.
If you have a restricted diet please select from the following option.
Dairy Free
 Gluten Free
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If there is anything else you feel we should know or if you have any questions
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Copyright 2011 Body Spirit Healthwise LLC. All rights reserved.
www.BodySpiritHealthwise.com -  Workshops / Retreats in the Northwest.   More than a workshop / vacation.

Body Spirit Healthwise
   
    Manifesting Change Retreat Registration

    Use this form to expedite your Manifesting Change Retreat reservation.

    Manifesting Change Retreat

    Each person in your party must fill out one of these forms.

    Registration ends 7 days before date of Retreat.
    Your registration can only be guaranteed upon receipt of tuition and registration form.

    Tuition for Retreat (including lunch):     $150.00      

    You can pay by Paypal or check once registration information is entered.

     Note: Cancellations must be received by 10 days before date of retreat and will be subject to
      a $25 processing fee.

    Guest Information    
     Note: All fields marked with an * are required