Love Over Everything Retreat
Registration Form
Full Name
*
First Name
Last Name
DOB
Email
*
example@example.com
Phone Number
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Pick you room occupancy.
*
I have a preferred retreat roommate
Match me with a retreat roommate
I'd like my own room
If you are coming with your preferred roommate, type their full name in the box or enter N/A.
*
I acknowledge the Retreat dates are July 2-6, 2020, I will stay the entire time. *
*
Yes
Payment Plan Single Occupancy (Monthly Payments After Deposit)
*
3 Month/$217
5 Month/ $130
One Payment $850
NA
Payment Plan Double Occupancy (Monthly Payments After Deposit)
*
3 Month/$184
5 Month/ $110
One Payment $750
NA
Payment Options
*
Deposit $200.00 (Non-Refundable)
Total Payment: Single Occupancy $850
Total payment: Double Occupancy $750
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Love Over Everything Retreat
$850.00
$
850.00
Love Over Everything Retreat
$750.00
$
750.00
Retreat Deposit
$200.00
$
200.00
Total
$0.00
$
0.00
*Your signature confirms your agreement and understanding all payments are non-refundable. You also agree to give Kaycation Lux Travel permission to charge your card for the agreed payment amount.
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Submit
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