First Name
*
Last Name
*
Phone
*
Email
*
Please share with us what you want to get out of this retreat? What area(s) of life you'd like to focus on.
*
How did you hear about us?
*
Preferred option
*
Shared room (₱10,000 - EARLY BIRD RATE)
Private room (limited - ₱13,000 - EARLY BIRD RATE)
Shared room (₱11,000 - REGULAR RATE)
Private room (limited - ₱14,000 - REGULAR RATE)
Payment option
*
GCash (Send to 09487051197 EL****A A.)
Bank Transfer (BDO, Chinabank - Please text/call 09487051197 for info)
Credit Card (additional 5% fee will apply)
Please send screenshot of payment to:
[email protected]
or send text to 09487051197.
Or you can upload your proof of payment by clicking below.
Upload your screenshot here
PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF
The 5% fee for credit card use has already been applied to the prices below
₱
10500
₱
11550
₱
13650
₱
14700
Other amount
Captcha
Submit