EmailMe Form - New Experience By Mrs. B

Date Registered

MM / DD / YYYY

Legal Name
(as appears on identification) *

First Last

Date of Birth *

MM / DD / YYYY

gender *

male

female

Email *

Cell Phone *

### - ### - ####

contact address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Sharing a room with:
Legal Name
(as appears on identification)

First Last

Date of Birth

MM / DD / YYYY

gender

male

female

Email

Cell Phone

### - ### - ####

contact address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Trip Inclusions

*Stay at French Market Inn (including taxes)(and it's reportedly haunted!!)
*Haunted New Orleans tour on Thursday evening
*Voodoo lesson, cleansing ritual, blessing ceremony Friday evening at Voodoo Authentica of New Orleans Cultural Center & Collection
*Cemetery walks and lots of free time to enjoy New Orleans.

Note: Trip does not include airfare, meals, drinks, parking, or anything not listed above.

Payment Information

Deposit: $100 per person due by May 15, 2015
After May 15, deposit is $150 due by June 1.
Final payment due: July 1, 2015 Non refundable,
All persons who deposit by May 15 will be in a drawing to receive a free reading with a Voodoo practitioner while in New Orleans.

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