Retreat Application Step 1 of 3 33% InstagramThis field is for validation purposes and should be left unchanged.Please complete this form to attend a retreat.Are you a member? Yes No Membership NumberName(Required) First Last PhoneEmail(Required) Enter Email Confirm Email Emergency Contact(Required) First Last Emergency Contact Number Retreat NameDate DD slash MM slash YYYY Total Retreat FeeVenueDay Visitor Option Overnight Stay Day Visitor Payment Method Cash – In person collection Direct deposit – Prior to event Deposit or Full Payment? Deposit (50%) Full Payment • Minimum of 6 participants required for retreat to proceed. • Advertised prices apply to current financial members. • Non-members pay an additional $20 fee. • Full payment required 2 weeks prior to retreat commencement. • A non-refundable 50% deposit is required to secure your place. • Day visitors may be considered, however priority is given to overnight attendees. • Refund requests may be considered by the executive committee.Agreement and Declaration(Required) I have read, understand, and agree to the Retreat Policy Statement I confirm the information provided is correct and wish to apply for this retreat. Direct Deposit Details BSB: 633 000 Account Number: 134 079 656 Account Name: Alice Springs Quilting Club Reference: Surname / Membership Number / Workshop Name
