Retreat Registration Form with Payment

BCIS Retreat Registration
Full Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*
Number of people attending*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Payments are processed through PayPal. You may pay using an existing PayPal account, or any major credit card / debit card.
Trip Payments*
prevnext( X )
Retreat Deposit (Per Registrant)
Retreat deposit per person - Non-refundable.

$200.00



Pay in Full (Double Occupancy)
Pay total price of trip per person. $200 is non-refundable once paid. $300 is non-refundable after April 15th. Full amount non-refundable after June 1st.

$950.00 Quantity
Item subtotal:$0.00



Pay in Full (Single Occupancy)
Pay total price of trip per person. $200 is non-refundable once paid. $300 is non-refundable after April 15th. Full amount non-refundable after June 1st.

$1,250.00 Quantity



Pay Remaining Balance
Pay total price of trip per person. $200 is non-refundable once paid. $300 is non-refundable after April 15th. Full amount non-refundable after June 1st.

$750.00 Quantity



Subtotal

$0.00

Tax

$0.00

Total

$0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

BCIS Retreat Registration