Dec 2018 Guatemala Wisdom Keeper Council
Name
Date of Birth
E-mail
Phone number
Mailing Address
Nationality
Do you speak Spanish?
Fluent
A little
None
How did you find out about this trip?
Email newsletter
Spirit Jaguar website
Facebook
Friend
Other
Do you have experience with ceremony? If so, please describe briefly.
Passport Number
Medical Conditions
Medications
Please list any dietary restrictions
Special Needs: (mobility, general issues etc.)
Emergency Contact information (name, e-mail, phone number)
Relationship of Emergency Contact (friend, spouse, parent, etc)
Payment (Must be received by Nov 20th)
I will send a cashier's check or money order made out to Erick Gonzalez in the amount of $1950 to 18100 Ager Beswick Rd. Montague, CA 96064
I will pay half the amount of $975 by Pay Pal (we will send you the PayPal link by email) and will bring the remaining $975 in cash to Guatemala.
I need to use a credit card and will pay 2.9% extra for a total of $2000 by Pay Pal (we will send you the PayPal link by email).
Submit
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