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Center For Creative Consciousness Sign Up Information

Last Updated:

1/2/2020 5

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Email Address

Your Name

Full Name

Your Address

Home Address, City, State, Postcode

Phone Number

Home Phone, Mobile Phone, Phone

Post-Registration Data

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Membership Emails

Below is a sample of the emails you can expect to receive when signed up to Center For Creative Consciousness.

Spirit of Bali tour...

Hello,

I just wanted to reach out as you submitted a form for the Spirit of Bali tour but never completed the process - we are assuming that it is not your intent to attend this tour. Please reach out as that is not the case.

Best of All Days.

Susan

Look for wisdom everywhere.

-MARK

Raw Data Registration Structure Registration Form Text

Registration

Full Legal Name*

Name (full)

Phone (home)

Phone (mobile)

Phone

Home address

City

State

Postcode

Gender

Room Preference*Double or 2 twin

Shared Deluxe Room - Base Price

Payment Options*Check all that apply: *Totals are based on double occupancy. This is for our records only, if you need to make changes please let us know

Tour Deposit $800 by Credit Card Only/ Non-refundable

Early Bird Option(less Deposit)-$2,950 Due by Jan 12, 2020

Regular Price(less Deposit)-$3,150 Due by March 1, 2020

Early Bird Pay in Full - $3750 Due by Jan 12, 2020

Regular Pay in Full - $3,950 Due by March 1, 2020

Single Supplement - Additional +$900

Direct Deposit Discount - ($40) for USD wire transfer to our US bank

Cash/Check Discount - ($80) discount for payment by US check IMPORTANT NOTE ABOUT SIGNATURE FORMThere should be a yellow box indicating your digital signature can be input. If the yellow box does not appear, Click Submit and try again. If it still does not work, please just mark the consent boxConsent*I intend to fully participate in the Bali Spiritual Tour. I understand that spaces are subject to availability and my registration is not considered complete until receipt of the non-refundab

Data Name	Data Type	Options
Full Legal Name*	Text Box
Name (full)	Text Box
Email	Text Box
Phone (home)	Text Box
Phone (mobile)	Text Box
Phone	Text Box
Home address	Text Box
City	Text Box
State	Text Box
Postcode	Text Box
Gender	Text Box
	dropdown
	dropdown
	checklist	Room Preference*Double or 2 twin
	checklist	Shared Deluxe Room - Base Price
	checklist	Payment OptionsCheck all that apply: Totals are based on double occupancy. This is for our records only, if you need to make changes please let us know
	checklist	Tour Deposit $800 by Credit Card Only/ Non-refundable
	checklist	Early Bird Option(less Deposit)-$2,950 Due by Jan 12, 2020
	checklist	Regular Price(less Deposit)-$3,150 Due by March 1, 2020
	checklist	Early Bird Pay in Full - $3750 Due by Jan 12, 2020
	checklist	Regular Pay in Full - $3,950 Due by March 1, 2020
	checklist	Single Supplement - Additional +$900
	checklist	Direct Deposit Discount - ($40) for USD wire transfer to our US bank
	checklist	Cash/Check Discount - ($80) discount for payment by US check IMPORTANT NOTE ABOUT SIGNATURE FORMThere should be a yellow box indicating your digital signature can be input. If the yellow box does not appear, Click Submit and try again. If it still does not work, please just mark the consent boxConsent*I intend to fully participate in the Bali Spiritual Tour. I understand that spaces are subject to availability and my registration is not considered complete until receipt of the non-refundab

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Comment on: 01/09/2020