Wait List for May 2019 Honey Locust Retreat
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Your First Name *
Your Last Name *
E-mail address *
Your Address (include City/State/Zip please) *
Contact Phone Number *
 Cell is best (if possible) in case we need to contact you just before the start of the retreat.
Please select your registration Option Below *
Please note that there are a limited number of single rooms. Sharing is encouraged (unless you have a specific need for a private room) so that more people can attend the retreat.
If you chose double occupancy above and have arranged for a roommate, please indicate his/her name below and include an email address. If you chose "Double Occupancy" and no name is indicated, a roommate will be assigned to you. (Note, each person must register  and pay separately.)
Payment Options
Option 1: PayPal -- Debit or Credit Card can be used. You can use this option whether or not you have a current PayPal account. A web link will be provided when you submit this form. NOTE: If payment is made under another name, please let us know so we know the payment was made for you.

Option 2: Payment by Check -- Please make payment in the amount indicated above to Omaha Community of Mindful Living (OCML). Mailing information will be provided when you submit this form.

Gluten free meals can be provided upon request. Please indicate below if you need gluten free meals.
Some Financial Assistance is Available. Please indicate below if you would like to apply.
Anything else you would like us to know?
Please submit this form after you complete the above information. You will be directed to the Registration Payment Page to complete your registration.
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