Name *

First Name

Last Name

Phone Number *

(###)

###

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Number Of People In Your Party *

1

2

3

4

PAYMENT POLICY + AUTHORIZATION *

I authorize Vita Vie Retreat, Inc to charge my credit card for $1000.00 as a deposit for my retreat (per person). I understand that the balance of my retreat will be due 21 days prior to arrival. I understand that if I do not complete my balance payment 21 days prior to arrival that my registration is subject to cancellation and my deposit may be forfeited.

I agree to the payment policy.

CANCELLATION AGREEMENT *

A $1000.00 per person non refundable deposit is due at the time of booking to secure your registration. A secure invoice will be sent 21 days prior to arrival to complete your balance payment. CANCELLATIONS MADE 21 DAYS IN ADVANCE: Cancellations made 21 days prior to your retreat arrival date will result in a retreat credit equal to your deposit which can be applied toward a future retreat within 6 months. This credit will be valid for 6 months from the date of your cancellation. CANCELLATIONS MADE LESS THAN 21 DAYS PRIOR TO ARRIVAL DATE: Cancellations made less than 21 days in advance of your arrival date are 100% non refundable. With emergency circumstances, we will do our best to apply partial payment towards a future visit within 6 months. NO SHOW/NO CALL: No show and no call reservations will be charged the entire retreat fee. There will be no retreat credit issued.

I agree to the cancellation policy.