UPDATED Fresh Start Workshop Payment Form

Fresh Start Retreat Payment

Payment page
Retreat Participants Name*

First NameLast Name
Your Name (if different)

First NameLast Name
Your Email*
example@example.com
Phone Number*
Please enter a valid phone number.
What date does your FSRC Retreat begin?*

MonthDayYear
Date
Terms and Conditions

By signing below you agree to the following terms:

One time payment of $6,995

Cancellation/Transfer Policy:

We rely on an accurate attendance count to make important arrangements for your workshop. If a cancellation occurs more than 30 days prior to the start of the workshop, a full refund, less a $600 administrative fee will be issued or an allowance is made for a one-time transfer to another workshop date.

There are no refunds for cancellations made within 30 days of the start of the workshop.

Please check the box below to confirm you agree.
I agree with the terms and conditions listed above:*

Yes, I Agree

My Products

FSRC Retreat Payment PlanOne time payment in full

$6,995.00

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Signature*

Cancellation/Transfer Policy: We rely on an accurate attendance count to make important arrangements for your workshop. If a cancellation occurs more than 30 days prior to the start of the workshop, a full refund, less a $600 administrative fee will be issued or an allowance is made for a one-time transfer to another workshop date. There are no refunds for cancellations made within 30 days of the start of the workshop. Clear
Should be Empty: