EN ALPHA GARDENA Weekend '24

26/27 May, 2023 | Please fill out this form and click submit.

Pali Retreat, May 25, 1pm - May 26, 7pm, 2024

Name

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Email

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Phone

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Address

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Alpha Group #

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Food allergies or restrictions

I want to be in a room with:

Payment

Guest or Staff ($140.00) Cash or Check ($0)

Amount

I will

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be able to give a ride (state below how many ppl you can take) need a ride to and from

If you can give a ride to others:

I can take this many additional people in my vehicle:

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Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

26/27 May, 2023

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