The Sufi in Canada | Sufi Message of Inayat Khan | Retreats in Canada | 2018 Loon Lake Sufi Retreat | the Sufi in the World

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AFTER REGISTERING ON THIS PAGE, YOU CAN CLICK HERE TO MAKE A PAYMENT
(please scroll to bottom of this page to view all of the form)

the Sufi in the World
A Sufi Movement In Canada Retreat

STEP 1 of 3, FILL OUT THIS REGISTRATION FORM

eMail Subject

Sufi Name

First Name

Last Name

Street Address 1

Street Address 2

City, Prov/State

Postal Code/ZIP

Country

Home Phone Number

Mobile Phone Number

Contact Email

(what we use to contact you)

ROOM REQUEST ________________________________________________________

Please indicate the type of accommodation you would prefer.

single
double

Sharing Preference

If you are not choosing a single room, please enter the name of the person(s) who you would prefer to room with.

RETREAT & ROOM FEES ________________________________________________________

All prices are in Canadian dollars.

REGULAR RATE (Final Payment due by May 1st)

Single Occupancy (1 in a room)

deposit $485.00
full payment $970.00

Other Occupancy (2 or 3 in a room)

deposit $400.00
full payment $800.00

Do you reqire a handicapped accessible room?

Yes I do

HOW WILL YOU MAKE YOUR PAYMENT? ________________________________________________________

Please choose a method of payment:

eMail Transfer
Canadian Cheque
PayPal (service charge applies)

DIET INFORMATION ________________________________________________________

Please indicate dietary preferences:

Gluten Free
Vegetarian
none

Food preferences must be finalized by June 10, 2018.

Are you interested in a canoe rental?

Yes I am.

MEDICAL AND ALLERGY INFORMATION ________________________________________________________

Do you have any medical condition that we should be aware of?

What should be done in case of an emergency?

Who should be contacted in an emergency?

What phone number should be used to contact this person in an emergency?

Please list any food allergies so we can discuss them with you and the lodge

TRAVEL ________________________________________________________

How do you plan to travel to the retreat?

Message

STEP 2 of 3, CLICK HERE TO MAKE A PAYMENT
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this will clear all fields

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