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.