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A Retreat & Conference Center
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318 West Main Street
Chester, CT 06412 -
Phone (860) 322-5770
Fax (860) 322-5744
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Soul Without Shame
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Exploring the Nature of Self Judgment
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With Byron Brown
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May 4 – 8, 2011
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Space will be limited for this retreat, please register early.
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Name: ____________________________________________________
Address: __________________________________________________
Email:____________________________ Tel:_____________________
Payments and Refunds:
Room rates include tuition, accommodations, and all meals during the retreat. Payment in full by either check or credit card must accompany this registration form in order to reserve a space.
Full refunds are available up to 30 days before the start date of the workshop. Between 30 days and 14 days before the start of the retreat, cancellations will receive a full refund less a $50 cancellation fee. Between 7 and 14 days before the start of the training, 50% of your payment is refundable. Seven days or fewer before the start of the training, payments are not refundable for any reason. Discounts are not available for partial attendance. Applicable refunds will be paid in the form of a check. If you have any questions, please call: (860) 322-5770, ext. 157 or email: Michael@GuestHouseCenter.org.
Meal Preference:
Please choose only one:
o Vegan o Vegetarian o Fish, no meat o Chicken & fish, no beef
o All EntreesAny serious food allergies we need to know about?
If so, describe below:
Room Preference:
o Single room: $1,000
A limited number of single rooms will be available, please contact us before selecting a single room.
Are you willing to take a double room if a single is not available?
o Yes o Noo Double room: $750 per person
Roommate’s name _______________________________________
Would you like us to assign you a roommate? o Yes o Noo Triple room: $700 per person
Roommates’ names _______________________________________
Would you like us to assign you roommates? o Yes o Noo Commuter Rate: $600 per person
(Tuition and all meals of the retreat included, but no accommodations)Payment:
Payment in full by either check or credit card must accompany this registration form in order to reserve a space. An e-mail will be sent to you as a receipt of your payment and to confirm your preferences.
Please send a check, payable to Guest House, to:
Soul Without Shame
318 West Main Street
Chester, CT 06412Credit Cards:
Guest House accepts Visa or Mastercard only. Do not e-mail your credit card information. Please fax this form to (860) 322-5744 or mail to the above address, or call to arrange your payment.
Credit Card Number:_________________________________________
Expiration date:____________________ Security Code: __________
Billing address zip code:______________________________________
Total:__________
For More Information:
Phone: (860) 322-5770 extension 157
E-mail: Michael@GuestHouseCenter.org







