SIA So Cal Retreat Registration 2017 - Joshua Tree, CA - June 16-18, 2017

1. Your Contact Information

First* Last
email* Nick Name
Address
City State Zip
Phone
Check here if you are interested in carpooling with others to the retreat.
Your email will be shared with others in a group email.

2. Select One:

Donation only
Shared Room ($245) includes registration, 2 nights/5 meals. (Shared rooms can hold up to 4 people)
      Requested Roommate(s) (optional):
     
Private Room ($300) includes registration, 2 nights/5 meals. (Single rooms with their own bathroom are available on a first come, first serve basis. Some single rooms may have to share a bathroom)
Camping ($195) includes registration, 2 nights/5 meals, showers/rest rooms
No Room ($180) includes 2 days registration, 5 meals
No Room ($90) includes 2 days registration, no meals
No Room ($95) includes 1 day registration, 2 meals
No Room ($65) includes 1 day registration, no meals

3. Donation to Support Scholarships

Amount:

4. Late Fee

Late Registration ($25 After Memorial Day, May 29, 2017)
Not registering (eg., donation only)

5. Payment

Mail Check
Credit Card (PayPal)

Amount: $245
Late Fee: $0
Donation: $0
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Total: $245