LVR Registration

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La Vie en Rose - Essential Happiness Retreat in Provence

Retreat date *

Your name *

First

Last

Your email address *

Your phone number *

Emergency contact *

First

Last

Emergency contact phone number *

What are you looking forward to gaining from the Retreat? *

How will you be paying for your deposit? *

Mailing a check PayPal (add 3%) Credit Card (add 3%)

(if you choose to pay via credit card or PayPal, we will email you an invoice)

Anything you would like to add? *

Please note that once paid, your deposit and your tuition are non refundable, although they may be transferable.

Also, we recommend that you purchase travel insurance which covers emergency medical treatment, evacuation, and trip cancellation.

See you very soon!
- Laura

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