To register, please complete the form below and click on Submit:

Name of Registrant:

Address:

City/State/Zip:

Home Phone :

Email :

Best contact method/time :


Gender: Male Female

Will you be bringing a friend: Yes No
If so, please provide friends name :


Retreat attending :


Payment Method : Paypal Cheque

Additional Information - special requests :


Email: info@dragonflyeretreats.com
 
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RETREAT REGISTRATION FORM

FEES & PAYMENTS
 

Payments can be made online via our Paypal service (please click on the PayPal Payments link below).



For additional information on cancellation & refund policies, please visit Rates & registration page.

For PayPal payments, please click on the PayPal Payments link below.

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