From this form you can:

1. Register + Pay $50 Deposit

2. Register + Pay $280 Full Cost

3. Register Only, Pay Later

4. Pay $230 Remaining Balance After Deposit

5. Download/Print PDF Flier (skip registration/payment)

If you have technical questions or run into problems, please contact:

Sam O. - 904-601-6401

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I want to...* This field is required.We accept Visa, Mastercard, American Express, & PayPal Payments. All Payments are secured with 128-bit encryption and monitored in real-time by Fraud-Protection Monitoring.

Register & Pay Non-Refundable $50 Deposit

Register & Pay The Full Retreat Cost of $280

Register Online - Pay Later and/or In-Person or by Mail (check, cash)

Download/Print Registration Form & Flier Only

Payment Only, I've Already Registered

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Name* This field is required.

First Name

Last Name

4

Address* This field is required.Note - The geolocate button may not always be accurate. Please make sure the address listed is correct.

Street Address

Street Address Line 2

City

State

Zip Code

Country

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Phone Number* This field is required.

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Email* This field is required.An email address is required to receive a copy of the registration form & receipt.

Example: BillWilson@AA.com

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2026 Mile High Men's Retreat PDF Flier/Registration Form - For Download/PrintPlease use the download/print button to download the PDF file shown below. Firefox users: click the popout arrow to download/print.

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Do You Need a Bed for Disability/Limited Mobility?* This field is required.Please note, limited mobility beds are limited - first come, first served.

YESNO

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Bunking Preferences (optional)Rooms are shared. Please list three people you would prefer to bunk with. We cannot guarantee everyone will get the placement requested.

Roommate Preference #1

Roommate Preference #2

Roommate Preference #3

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2026 MILE HIGH MEN'S RETREAT

IMPORTANT INFORMATION

🗓️ Retreat Date: November 6-8, 2026
🌎 Location: Mount Kare - 24557 CA-2. Wrightwood, CA. 92397
🚭 Facility is Non-Smoking/Vaping (Parking lot only)
🚗 Parking is Limited - Please Carpool if Possible
♿ Limited Mobility / Handicapped Bed Quantity is Limited - First Come, First Served

COSTS & DEADLINES

💰 Total Cost: $280 - Includes Lodging & Meals - Final Deadline October 7, 2026
💸 Deposit: $50 Non-Refundable Deposit Required to Hold the Spot
❌ No Refunds for Cancellations After October 27th (donate your spot to another alcoholic!)
💳 Payment Methods: Visa, Mastercard, American Express, Paypal, Cash/Check(in person/by mail)

WHAT TO BRING

🛌 Bedding: Pillows, Sheets, Blankets / Sleeping Bag / Bed Roll
🏕️ Note: This is a "Camp" setting! Each cabin accommodates 6-10 people
🧼 Personal Care: Towels, Toiletries, Medications
🙏 Spiritual Care: Big Book, Notebook, Pencil/Pen, Meditation Readings

QUESTIONS?

📞 Contact Steve N. (909) 240-8004 or Dave B. (626) 485-1059
🖥️ Technical Support - Contact Sam O. (904) 601-6401

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Thanks for downloading the PDF registration form/flier

By clicking "Submit" you will receive an email copy of the registration form and important information about the retreat including payment link, information, and deadlines.

Please contact Sam O. (904) 601-6401 for Technical Issues

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Thank You For Selecting to Pay the $50 Non-Refundable Deposit

Please continue to the payment page. We accept Visa, Mastercard, American Express, & PayPal payments. All online payments are processed via PayPal and are secured with 128-bit encryption and are monitored by live Fraud-Protection Monitoring.

Please contact Sam O. (904) 601-6401 for Technical Issues

13

Thank You for Selecting to Pay-In-Full - $280

Please continue to the payment page. We accept Visa, Mastercard, American Express, & PayPal payments. All online payments are processed via PayPal and are secured with 128-bit encryption and are monitored by live Fraud-Protection Monitors.

Please contact Sam O. (904) 601-6401 for Technical Issues

14

Pay Later / In Person / By Mail

Please click "Submit" to submit your registration form. You will receive an email copy of your submission.

Payments accepted are Cash, Check, Visa, Mastercard, American Express, & PayPal

If mailing your payment, please post to:

Mile High Men's Retreat
9074 Regency Way
Rancho Cucamonga, CA. 91701

Please check your email for payment links & instructions

Please contact Sam O. (904) 601-6401 for Technical Issues

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You've selected to skip the registration form and make a payment directly.

Continue ONLY if you have already submitted your registration form either online or in person.

Click "Next" below to proceed to the payment page.

We accept Visa, Mastercard, American Express, & PayPal payments. All online payments are processed via PayPal and are secured with 128-bit encryption and are monitored by live Fraud-Protection Monitoring.

Please contact Sam O. (904) 601-6401 for Technical Issues

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Registration/Payment Status On Submission (internal)Internal - if you see this please contact Sam - 904-601-6401

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Registration/Payment Status TrackerNeed to confirm payments were actually finalized/processed

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Select Your Payment Option* This field is required.Select your option to continue to payment

My Bag

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$50 - Non-Refundable Deposit Payment
$50.00Edit
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$280 - Pay in Full - Entire Cost
$280.00Edit
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$230 - Pay Remaining Balance after Deposit
$230.00Edit
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Invoice ID

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Payment Methods

Debit Or Credit Card

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