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Registration
Register today for the Day of the Dead Retreat
Please complete the form below to register for our Day of the Dead Retreat
Name
Address
City
State / Province
Postal Code
Daytime Telephone
Evening Telephone
Email
Birthdate (optional)
Arrival Date
Arrival Time
Airline Flight #
Payment Options
Secure online payment through PayPal
Personal Cheque
Full Payment with Registration
Non-refundable $100 Deposit
Accomodations for this reatreat are double and triple occupancy. Please indicate below with whom you would like to share, if you have a particular preference.
Comments
By Phone
US or Canada: (561) 207-7152
Mexico: 011-52 (415) 152-4957
Copyright ©2003, Judith Chaikin. All rights reserved.