Application form for Creative Connections Retreat, Bali, May 28-June 3, 2017
The Bali 2017 Retreat is currently full. Please fill out your information below to get on the waitlist for the Creative Connections Retreat in Bali, held from May 28 to June 3, 2017.
Last Name
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First Name
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Affiliation and Title
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Email address
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Phone number
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Tentative title of paper you plan to work on during the retreat
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Which is your preferred housing arrangement?
Price varies depending on whether you choose single or double occupancy. The price is all inclusive.
Please let us know here if there is someone else you would like to room with.
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If you are a past participant or were referred by a past participant, please let us know here.
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Any other comments or questions?
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