Wild at Heart Basic Registration

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Name
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Phone
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Address
(e.g. pay half now and half later, or will need a scholarship of ___%, etc)
(e.g. wheelchair access, dietary needs, transportation needs, etc.)
You will be redirected to PayPal for completion of the registration. Please note PayPal does not require a PayPal account for payment, you may enter credit card information without an account to complete registration. - The total cost for the retreat is $279, unless you've been given a discount for early bird registration. - If you pay in full now, then you only have to pay $259. - If you pay by installments we will require $50 down now to secure your spot since this will book up pretty fast, then you'll pay $115 a month before the retreat and the remaining $115 a week before. You will pay using this link: PayPal.me/maverickmissions If you prefer paying by check please make check payable to "Maverick Missions" and mail to 2500 Boysenberry St, Bartlett, TN 38134 There will be no refunds given for any reason, but you will have the choice, if you cannot make it the retreat to either use the money you've paid towards the next retreat OR gift your spot towards another man on the waiting list who might not be able to afford the full cost (in which case, you'll be given a tax-deductible receipt for your generous gift). If you have further questions, please email brad@maverickmissions.com for help.
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Name