Love Over Everything Retreat
Registration Form
Full Name
*
First Name
Last Name
DOB
Email
*
example@example.com
Phone Number
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Pick you room occupancy.
*
I have a preferred retreat roommate
Match me with a retreat roommate
I'd like my own room
If you are coming with your preferred roommate, type their full name in the box or enter N/A.
*
I acknowledge the Retreat dates are July 2-6, 2020, I will stay the entire time. *
*
Yes
Payment Plan Single Occupancy (Monthly Payments After Deposit)
*
3 Month/$217
5 Month/ $130
One Payment $850
NA
Payment Plan Double Occupancy (Monthly Payments After Deposit)
*
3 Month/$184
5 Month/ $110
One Payment $750
NA
Payment Options
*
Deposit $200.00 (Non-Refundable)
Total Payment: Single Occupancy $850
Total payment: Double Occupancy $750
T-Shirt Size:
*Your signature confirms your agreement and understanding all payments are non-refundable. You also agree to give Kaycation Lux Travel permission to charge your card for the agreed payment amount.
Payment Methods
Submit
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