Full Name
Address
City, State, Zip
Home phone #
Alternate phone #
e-mail
Referred by
Discount /
Special Code
Please select the event you are registering for:
San Diego, CA Nov. 4-6, 2011
Early bird deadline - July 31, 2011
Single Room per person - $325.00
Double Room per person - $200.00
Triple Room per person - $175.00
Overnight Guests Room
Selection - Deposit Only
Additional guests in your party:
Guest # 2:
Guest # 3:
Guest # 4:
Click here to go back to San Diego Retreat Information
San Diego Kona Kai November 4-6, 2011 Registration
