Register: "Eco-Retreat: Ecuador"
June 4-10, 2017 in Province Imbabura, Ecuador.

Please complete this registration form and then click the SUBMIT button at the bottom. We look forward to having you with us!

Email address
Name
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Telephone
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Zip code
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1st Step: Send Deposit
Once you register by filling out this form, you can send us your $500 deposit by either:

Option A)

Send us a check TODAY for $500 by Mail to:

Coach2Edify Foundation: 23231 Gonzales Dr., Woodland Hills, CA 91367

Option B)

Send deposit via PayPal for a total of $514.80: (which includes $14.80 transaction fee).
Paypal account: mayra@coach2edify.org

Food Preference
Price and Payment
$500 holds your spot.

Remainder balance ($900 if deposit placed by January 31st) due on February 15th.

For single supplement, add $400 to remainder balance.

* Air travel NOT included in price

Please go to Eco-Retreat: Ecuador's website page (http://coach2edify.org/eco-retreat-ecuador/) for inclusions, program, and more details.

Please indicate how you are paying
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Cancellation and Refunds
* Deposit of $500 is not refundable, unless trip is cancelled by C2E for lack of participants. We will announce GREEN light to purchase travel tickets (based on guests registered with deposits by no later than March 1st).
Please indicate if you are guest or crew
Feedback
Please tell us how you learned about this event. Also, is there anything else you would like us to know about you or your intent for the event?

A copy of your responses will be emailed to the address you provided.
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