Spiritual Renewal Week – Community Member

* These fields are required

1 Welcome

Registration for SRW is on a per-person basis. So if you are a couple, you will need to go through this form twice.

Please fill out your details and press Continue.

First Name *

Please enter the name that should be used for billing purposes, ie, the name on your credit card.

Last Name *

Please enter the name that should be used for billing purposes, ie, the name on your credit card.

Email *

Please enter the email address that we should use to contact you. We keep your contact information confidential.

Save my progress and send me an email reminder

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2 Event Contribution

Thank you for your contribution! The proceeds help to cover operational costs for all three departments that are jointly putting on this event - The Expanding Light Retreat, Online with Ananda, as well as Village Management (to cover Temple of Light utilities).

Please enter a sliding scale amount between $0 - $75 for the entire week

	Maximum $75.00 – Sliding Scale
	$ Please enter an amount *

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3 Additional Info & Meals Reservation

Meals prices for Village Residents: Breakfast - $8, Lunch - $12, Dinner - $8, Indian Banquet - $21

IMPORTANT: Please note that the meal prices are not built into the form, and thus the total price reflected at the end of this form will only reflect your event registration and will not yet include the cost of your meals. By selecting meals, you are authorizing us to add these charges to your registration.

Preferred Name (i.e. spiritual, nickname, etc.)	Please enter the name you would like us to use for you, if different from the name you registered with.
A-La-Carte Meals Selection	SUN - Dinner MON - Breakfast MON - Lunch MON - Dinner TUE - Breakfast TUE - Lunch TUE - Dinner WED - Breakfast WED - Lunch WED - Dinner THUR - Breakfast THUR - Lunch THUR - Dinner FRI - Breakfast FRI - Lunch FRI - Dinner SAT - Breakfast SAT - Lunch SAT - INDIAN BANQUET SUN - Breakfast SUN - Lunch Select meals that you would like to be added to your reservation. By selecting them, you are giving us permission to add these charges to your registration and charge your credit card for the total amount.
Dietary Restrictions	All of our meals are vegetarian, with vegan and gluten-free options available. For any other restrictions, we cannot guarantee that we'll be able to accommodate your special needs.
Comments or Special Needs	Please especially note here if you have limited mobility or require extra support.

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4 Security Check

Security check

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5 Payment

Reminder: If you selected meals above, the cost is not yet reflected in the total here. Our Guest Services staff will add the meal charges to your registration and process the balance due.

Sub Total	$0

Donations	$0

Taxes	$0

20% Deposit	$0

Due Now	$0 $0

Remaining Balance	$0

	You will be asked for payment details in the next step. Click the button below to continue.

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	By submitting payment, you authorize Meditation Retreats to send instructions to the financial institution that issued your card to take payments from your card account in accordance with the terms of Meditation Retreats's agreement with you.