Event registration

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Event registration

Event Date: October 18-19, 2019 9am -5pm
Event Location: 12628 Fork Road Fork MD 21051
Contact Us: 443-903-1039 or cjconsultingandservices@gmail.com
Cancellation Policy: In event of your cancellation with more than two weeks' notice, we will refund 75%. There are no refunds made less than two weeks prior to the event.

Name *

Email *

Phone *

Street Address

City

State

Zip

Profession

How did you hear about this Retreat gathering?

What do you hope to gain by participating in this Retreat?

Do you require accommodations?

Yes Private Room $35

Yes Shared Room $25

Yes,Master Suite with Private bath $45

Dietary restrictions *

None

Vegetarian

Vegan

Kosher

Gluten-free

Other:

How Will You Pay?

By Check Make Check Payable to CJ Consulting and Services and Mail to 12628 Fork Rd. Fork, MD 21051

By Paypal (send payment to barsal.hk@gmail.com)

Send me an Invoice (will be sent via Paypal)

Submit

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