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Reflective Harmony's 2025 Renewal of Spirit & Retreat: Sedona
Individual Registration Form - please complete to secure your spot on our trip.
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Your Full Name:
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Your Address:
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Best Contact Phone #:
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Email Address:
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Room Accommodations for SINGLE OCCUPANCY (you are traveling solo and staying in a room by yourself with a KING bed):
I'm traveling solo, and would like to reserve my spot with a $500 deposit.
I'm traveling solo, and would like to reserve my spot and pay in full ($4195 per person).
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Room Accommodations for DOUBLE OCCUPANCY (you are traveling with someone and will stay in a room with 2 queen beds):
I'm traveling with someone, and would like to reserve my spot with a $500 deposit.
I'm traveling with someone, and would like to reserve my spot and pay in full ($3795 per person).
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If traveling with someone, please list their name below and be sure they fill out their own reservation form and send in their deposit.
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Would you like to be invoiced for the balance of your trip in its entirety, or be set up with a monthly payment plan (May, July, September, & November):
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Please invoice me in April for the trip balance in its entirety, based on my room occupancy.
Please send me invoices for the monthly payment plan starting in May, based upon my room occupancy.
Do you have any dietary restrictions or preferences you'd like to share with us?
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Anything else that would be helpful for Kelly to know?
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