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Humanspirit 2012
Humanspirit 2012 Registration
Name
*
First
Last
Phone Number
*
-
-
Email
*
Option 1 - Cabin w/four bottom bunks $325. I would like to be in a cabin with, & yes I've talked to them & they have registered:
Name 1
*
Name 2
*
Name 3
*
Option 2 - Cabin w/either a double bed or two singles $360. I would like to be in a cabin with, & yes, I've talked to them & they have registered:
Name 1
*
Option 3 - Cabin alone for $450.
Choose either option 1, 2 or 3 from above
*
Option 1 - $325 per person
Option 2 - $360 per person
Option 3 - $450 per person
Please choose your meal option
*
Vegetarian
Vegan
Carnivore
Option 1 - I have chosen the 4bed, 2bed, 1bed option and I am
paying in full
. I understand
that $125 of my payment is non refundable/non transferable.
Option 2 - Please hold my spot with my non-refundable/non transferable deposit of $125. I understand my second payment of $150 is due on April 1st and my last payment is due on May 1st.
Choose either option 1 or 2 from above
*
Option 1 - Full Payment
Option 2 - Deposit $125
Choose your cabin size
*
4/bed - $325 per person
2/bed - $360 per person
1/bed - $450 per person
I am paying by
*
Pay-Pal
Visa/MC
If paying with PayPal please go back to the home page after sumbitting this form and scroll down to the bottom of the page and to the right corner you'll see a DONATE payment button. Click there and enter amount to pay also write HUMANSPIRIT in memo.
Make checks to CSA and send to 1275 Starboard Drive, West Sacramento, CA 95691. Please write HUMANSPIRIT on check memo.
Cancellation policy: Cancellation request for the registration fee (minus the non-refundable deposit) must be made in writing and received at CSA no later than May 1st.
Amount Enclosed
*
Visa/MC #
*
Exp Date
*
CVV Code
*
Submit
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