the RAWtreat Registration
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Which room type do you prefer?
Shared Bedroom and Shared Bathroom
Shared Bedroom with Private Bathroom
Private Bedroom with Shared Bathroom
Private Bedroom with Private Bathroom
Please, type the name of the person with whom you'd like to share a room. (Optional)
Payment Options
*
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( X )
Retainer
This will secure your spot and can be used towards ANY room type.
$
500.00
Quantity
1
2
3
4
5
6
7
8
9
10
Pay-in-Full Shared Bed and Bath
Includes a 1 hour private session with Dawn before the retreat.
$
2,395.00
Quantity
1
2
3
4
5
6
7
8
9
10
Pay-in-Full Shared Bed w/ Private Bath
Includes a 1 hour private session with Dawn before the retreat.
$
2,465.00
Quantity
1
2
3
4
5
6
7
8
9
10
Pay-in-Full Private Bed w/Shared Bath
Includes a 1 hour private session with Dawn before the retreat.
$
2,595.00
Quantity
1
2
3
4
5
6
7
8
9
10
Pay-in-Full Private Bed and Bath
Includes a 1 hour private session with Dawn before the retreat.
$
2,720.00
Quantity
1
2
3
4
5
6
7
8
9
10
Submit
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