Online Registration Form For Registrants using PayPal

May 22- 26 Angel Valley, Sedona Journey

Please fill out this registration form below and submit with your $200 deposit through PayPal

If you are mailing in your deposit payment, click here for printable form

Online Registration Form For Registrants using PayPal


Name

Address

Phone Number

Email Address

Accommodations: check your choice below

Double   Triple    Single

Roommate(s)?

 - Please list roommate name/s below

Check below if you would like to be matched up with a roommate

Yes, I would like to be matched up with a roommate

Please list any physical limitations in the box below:

Registration Deposit payment made through PayPal 
using the cart button at the top of this page: $200.00

       

If you are mailing a check or money order, please print and fill out the 
registration form below and send it, with your $200 deposit to:

Angelights
3240 Mendon Rd
Cumberland, RI 02864

To print - Highlight the registration form items below, click file>print and check "selection"

Registration for May 22- 26 Angel Valley, Sedona Journey

 

Name          _______________________________________

Address      _______________________________________

                     
                  _____________________________________

Phone          _______________________________________

Email            ______________________________________

 

Accomodations:  Double______ Triple______ Single_______

 

Roommate(s) _______________________________________

                     ______________________________________

 

Want to be matched up with a roommate? _________________

 

Physical limitations___________________________________

 

Amount enclosed: Deposit of $200.00