JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Nova Scotia Retreat Sign Up
I'm ready to spend a weekend in Nova Scotia from June 28-30, 2024, sign me UP!!!
If you have questions about this form, please reach out to Alison at contact@alisonbutler.ca
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Your name (first and last)
*
Your answer
Your e-mail address (please check for typos before you send)
*
Your answer
Your phone number (with area code)
*
Your answer
Your full postal mailing address (including street name and/or P0 box number if applicable)
*
Your answer
I am booking:
*
1097 CAN taxes included - Single occupancy King Suite - King bed with ensuite (each room is unique, photo shows one room example)
$797 CAN per person taxes included - Double occupancy King Suite (1 shared king bed with ensuite - each room is unique, photo shows one room example)
$997 CAN taxes included - Single occupancy king/queen room with ensuite
$797 CAN per person taxes included - Double occupancy king/queen room with ensuite
$777 CAN per person taxes included - Double occupancy with a friend (Grown up bunk room with ensuite)
$777 CAN per person taxes included- Double occupancy with a friend (Twin beds suite with ensuite)
If travelling with a friend, please share your friend's name (for room pairings)
Your answer
I understand that by completing this form, I am agreeing to pay the $250 CAN non-refundable deposit to hold my room (link below).
From the time I submit this form, my room choice will be "held" by Alison for 1 week. If my deposit payment has not been received after one week, Alison reserves the right to cancel the booking and open the room to other registrations.
*
I Agree
I Disagree
Required
Please open
this link
to visit the payment page and pay your deposit OR send an e-transfer to contact@alisonbutler.ca
*
I have paid my deposit by credit card
I'm sending you an e-transfer
Please send me an invoice for my deposit
Any other details you need to share with Alison?
Need to be billed at your business email or address? Please share all details below.
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Alison Butler Consutling.
Report Abuse
Forms