Send Money to SIA So Cal Retreat

1. Your Contact Information

Name*

email*

Phone

2. Purpose:

Donation to Scholarship fund

Raffle Tickets (10 for $5, 20 for $10, 50 for $20 )

Adding Thursday Night ($50 - no meals or workshops)

Paying towards Registration

Other:

3. Amount:

Amount You would like to send*:
($5 minimum)

Total: $0 for
Scholarship Fund