Connect and Learn Retreat PA RSVP
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Did you pay the required RSVP $250 deposit?  Payment is routed through e-Junkie. http://bit.ly/CNLdeposit *
Full Name *
Email *
Blog URL *
Do you understand that tickets and deposits are non-refundable? (transfers may be possible) *
Please Agree to Each of the Rules *
Required
Do you have any dietary restrictions? *
Mailing Address *
Phone Number *
Emergency Contact (Name, relationship, phone #) *
Please type your name and date to serve as your electronic signature. *
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