Honey Locust April 2018 Retreat Registration
Please fill out the following to register for the Honey Locust April Retreat with Sister Terry Cortés-Vega.
Your First Name *
Your answer
Your Last Name *
Your answer
E-mail address *
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Your Address (include City/State/Zip please) *
Your answer
Contact Phone Number *
Cell is best (if possible) in case we need to contact you just before the start of the retreat.
Your answer
Please select your registration Option Below *
Please note that there are a limited number of single rooms. Sharing is encouraged (unless you have a specific need for a private room) so that more people can attend the retreat.
If you chose double occupancy above and have arranged for a roommate, please indicate his/her name below and include an email address. If you chose "Double Occupancy" and no name is indicated, a roommate will be assigned to you.
Your answer
Payment Options
Option 1: PayPal -- Debit or Credit Card can be used. You can use this option whether or not you have a current PayPal account. A web link will be provided when you submit this form. NOTE: If payment is made under another name, please let us know so we know the payment was made for you.

Option 2: Payment by Check -- Please make payment in the amount indicated above to Omaha Community of Mindful Living (OCML). Mailing information will be provided when you submit this form.

Gluten free meals can be provided upon request. Please indicate below if you need gluten free meals.
Some Financial Assistance is Available. Please indicate below if you would like to apply.
Anything else you would like us to know?
Your answer
Please submit this form to complete your registration. Payment information will be provided on the next page.
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