TMW Retreat

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1 Welcome

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First Name *

Last Name *

Email *

Phone *

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2 Price

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$500.00 – $500 Retreat Deposit - Refundable for six months after payment$500.00 $500.00 – $500 Retreat Deposit - Refundable for six months after payment

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$1,000.00 – $1,000 Retreat Payment$1,000.00 $1,000.00 – $1,000 Retreat Payment

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$1,500.00 – $1,500 Retreat Payment$1,500.00 $1,500.00 – $1,500 Retreat Payment

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$2,000.00 – $2,000 Retreat Payment$2,000.00 $2,000.00 – $2,000 Retreat Payment

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$2,500.00 – $2,500 Retreat Payment$2,500.00 $2,500.00 – $2,500 Retreat Payment

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$3,000.00 – $3,000 Retreat Payment$3,000.00 $3,000.00 – $3,000 Retreat Payment

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$3,500.00 – $3,500 Retreat Payment$3,500.00 $3,500.00 – $3,500 Retreat Payment

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$4,000.00 – $4,000 Retreat Payment$4,000.00 $4,000.00 – $4,000 Retreat Payment

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$4,500.00 – $4,500 Retreat Payment$4,500.00 $4,500.00 – $4,500 Retreat Payment

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$5,000.00 – $5,000 Retreat Payment$5,000.00 $5,000.00 – $5,000 Retreat Payment

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$5,500.00 – $5,500 Retreat Payment$5,500.00 $5,500.00 – $5,500 Retreat Payment

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$6,000.00 – $6,000 Retreat Payment$6,000.00 $6,000.00 – $6,000 Retreat Payment

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$6,500.00 – $6,500 Retreat Payment$6,500.00 $6,500.00 – $6,500 Retreat Payment

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$7,000.00 – $7,000 Retreat Payment$7,000.00 $7,000.00 – $7,000 Retreat Payment

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$7,500.00 – $7,500 Retreat Payment$7,500.00 $7,500.00 – $7,500 Retreat Payment

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3 Participant Info

Emergency Contact	Please include name & phone number.
Retreat Start Date *	Please enter anticipated retreat start date. If not yet known, enter "TBD".
Name of Retreat Participant *	If you are paying on behalf of someone else, please enter the name of the person participating in the retreat. If not applicable, enter N/A.
Organization	For company payments.

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4 Payment

Sub Total	$0

Taxes	$0

Deposit	$0

Due Now	$0 $0

Choose Payment Option

	Please include this information In the memo, include (1) the anticipated retreat start date and (2) the name of the retreat participant (your name, or if paying on behalf of someone else, the retreat participant's name). Zelle: martin@missionwithin.org Wire Transfer Instructions: Bank: Frost Bank ABA: 114000093 Account #: 592158892 Beneficiary: The Mission Within LLC Address: Mission Within % Martin Polanco 1401 Lavaca St Unit #353 Austin, TX 78701 Click on the button below and these instructions will be repeated on the next page.

*Please include this information* In the memo, include (1) the anticipated retreat start date and (2) the name of the retreat participant (your name, or if paying on behalf of someone else, the retreat participant's name).

Zelle:
martin@missionwithin.org

Wire Transfer Instructions:

Bank: Frost Bank
ABA: 114000093
Account #: 592158892
Beneficiary: The Mission Within LLC

Address:
Mission Within % Martin Polanco
1401 Lavaca St
Unit #353
Austin, TX 78701

Click on the button below and these instructions will be repeated on the next page.

Security Check

	You will be asked for credit card details in the next step. Click the button below to continue.

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	Retreat Guru is the online booking agent for The Mission Within. Charges will appear on your bill as "Retreat Guru"