Reconnect Creative Retreat

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Tuscany, October 10-15, 2023

Email *

First & Last Name: *

Do you wish to share a room with someone else? *

Yes. I want to share a room (shared occupancy).

No. I do not want to share a room (single occupancy).

If yes and you know who you want to share a room with, please list their name below:

If yes but you want to be paired with someone, click the circle below:

I want to be paired with a roommate.

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If no, would you prefer a room with a double bed or a room with two twin beds?

One double bed

Two twin beds

No preference

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Do you wish to pay the deposit or pay in full? *

Pay the $500 non-refundable deposit now, the rest by Aug 1, 2023.

Pay the total in full

How do you wish to pay? We accept payments via stripe and venmo. If you choose venmo, you will receive a venmo charge from us within 3 business days. *

Via Stripe (accepts many forms of payment including credit cards, bank transfers, etc.)

Via Venmo

How did you hear about the retreat? *

Elea

Hillary

Social Media

Friend

Website

Other:

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