2027 Sublime Mother Gaia Retreat Registration Form

SUBLIME MOTHER GAIA RETREAT
May 23-28 2027
REGISTRATION FORM

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Name(Required)

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Email(Required)

Phone(Required)

In case of emergency contact:(Required)

Billing Address(Required)

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

Payment Preference

I will pay in full today

I will pay by check

I will pay by bank wire transfer

I would like a payment plan. (Requires a $250 deposit)

To Pay by Check: Make checks payable to: Alliance for the Earth, and send to: PO Box 8031, Santa Fe, NM 87504

Bank Wire Transfer: If you wish to send payment by bank wire transfer please contact: erik@earthtreasurevase.org

Full Payment

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Please write a response to each of the following questions:

Please note any dietary needs:

What draws you to this retreat? What do you hope to receive?(Required)

Have you attended any previous gatherings, pilgrimages, or practice groups within the Gaia Mandala?(Required)

Total

Thank you!

We are so excited to gather with you!