EmailMe Form - Grace Cirocco Registration Sacred Sedona

Please note that payment has been disabled on this form.
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Select a Date *
Full Name *
First Last
Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Home Phone *
### - ### - ####
Work Phone
### - ### - ####
Cell Phone
### - ### - ####
Primary Email *
Secondary Email
How did you hear about this workshop?
Occupancy *
Double Occupancy
Single Occupancy
Please Note: Single rooms are not guaranteed but every effort will be made to accommodate you. If you are coming alone but would like a roommate, please let us know and we will partner you up.
Friend's Name
First Last

If you are coming with a friend, or registering as a couple, please type their name above.
After you register for the retreat with our office, you can make your own room reservations by calling the hotel directly at 1-844-258-2148 . Please mention Grace Cirocco’s Sedona Retreat to get this special rate. DEADLINE: Rooms will be released Feb. 8, 2018! This is a very popular hotel and is always booked up. If you are coming, make sure you book your room with plenty of time.
Deposit of $500 CDN per person is required to guarantee your reservation. *
Credit Card - We accept MC & VISA. Leave your card #, expiry, & > number on the back on our secure landline (24 hours) 905-688-0868
E-transfer - Please send to grace@gracecirocco.com Fast & easy, your amount will be auto-deposited.
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