Retreat Registration Form with Payment

BCIS Retreat Registration
Full Name

First NameLast Name
E-mail
example@example.com
Phone Number
Format: (000) 000-0000.
Number of people attending
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Payments are processed through PayPal. You may pay using an existing PayPal account, or any major credit card / debit card.
Trip Payments
prevnext( X )
Retreat Deposit (Per Registrant)
Retreat deposit per person - Non-refundable.

$200.00



Pay in Full (Double Occupancy)
Pay total price of trip per person. $200 is non-refundable once paid. $300 is non-refundable after April 15th. Full amount non-refundable after June 1st.

$950.00 Quantity
Item subtotal:$0.00



Pay in Full (Single Occupancy)
Pay total price of trip per person. $200 is non-refundable once paid. $300 is non-refundable after April 15th. Full amount non-refundable after June 1st.

$1,250.00 Quantity



Reduced Package
Includes: Tickets to exhibits, transportation and conference fee (Hotel NOT included)

Pay total price per person. $500 is non-refundable once paid.

$500.00 Quantity



Pay Remaining Balance
Pay total price of trip per person. $200 is non-refundable once paid. $300 is non-refundable after April 15th. Full amount non-refundable after June 1st.

$750.00 Quantity



Couple's Package
Pay total price of trip per person. $400 is non-refundable once paid. $600 is non-refundable after April 15th. Full amount non-refundable after June 1st.

$1,600.00 Quantity
Item subtotal:$0.00



Subtotal

$0.00

Tax

$0.00

Total

$0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Should be Empty:

BCIS Retreat Registration

Trip Payments*

Payment Methods

Trip Payments