Package Choice                                                           

Single (1-person sleeping room)         285.00 per person      

Double (2-person sleeping room)       255.00 per person      

Triple (3-person sleeping room)         230.00per person       

Deluxe (4-person sleeping room)       220.00 per person       

Add Jump Start   Single Package $75.00 

Add Jump Start  Double Package $45.00 

Add Jump Start   Triple Package $35.00 

Add Jump Start   Deluxe Package $30.00 

Retreat weekend with no hotel sleeping room  $199.00 per person

 Have you attended a Past Reflections retreat before? Yes  No

Your Name

Address

City, State and Zip

Your Email

Your Phone Number

Your Room Mate(s) name(s)

Payment Method:  Check      Credit Card        Paypal

Notes:

 We accept Visa, MasterCard and Discover.  If you checked paypal, please send payment to trish@scrapamemory.com.  If mailing a check please mail to:

Past Reflections

1409 Elizabeth Ave

Pleasant Hill, Mo 64080

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Payment Amount:   Minimum Amount $90.00       Full Payment    Other amount

Check box to have your card auto charged for your remainder balance on 3/15/08.

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  If paying by check please send registration fee promptly.

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I have read and understand the Past Reflections Cancellation Policy.

My registration will not be final until I agree by checking this box.

Click here to read our Cancellation Policy