Retreat Waitlist: I am ready to register!
Land of the Medicine Buddha
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I am registering for: *
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Names of participants *
Email for each person attending *
Cell phone number *
Room type *
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Payment method *
Please check all that apply to you.  
THIS IS THE WAITLIST REGISTRATION.  PLEASE DO NOT PAY UNTIL YOUR SPACE IS CONFIRMED BY US.
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What is the most exciting thing about this retreat for you? *
Anything else you would like us to know?
Once your space is confirmed, next step for registering is to complete your payment.  When its time: Please click here to do that.
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