Do you have any food allergies or medical conditions we must be aware of?
We must have an emergency contact person. Please include phone number, address and email.
If you will be attending this retreat with a friend and wish to share a room, please advise us.
YOU MAY CANCEL THIS TRANSACTION, WITHOUT ANY PENALTY OR OBLIGATION, WITHIN THREE BUSINESS DAYS FROM THE RECEIPT OF THIS DISCLOSURE.
TO CANCEL THIS TRANSACTION, MAIL OR DELIVER A SIGNED AND DATED COPY OF THIS CANCELLATION NOTICE OR ANY OTHER WRITTEN NOTICE OR SEND A TELEGRAM TO:
Karen Quiros, karen@balwell.com
NOT LATER THAN MIDNIGHT OF THE THIRD DAY AFTER RECEIPT OF THIS DISCLOSURE
I HEREBY CANCEL THIS TRANSACTION
(Date)
_____________________________________
(Purchaser's Signature)
_____________________________________
Thank you for registering! Feel free to contact us if you have any questions we have not answered.
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