Application form for Creative Connections Retreat, Bali, May 28-June 3, 2017
The Bali 2017 Retreat is currently full and we are no longer accepting applications.
Last Name *
Your answer
First Name *
Your answer
Affiliation and Title *
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Email address *
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Phone number
Your answer
Tentative title of paper you plan to work on during the retreat
Your answer
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.
Your answer
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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