Secure Your Spot

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Thank you for taking the next step toward joining a Beckley Retreat.

Your $500 deposit confirms your intention to move forward and begins the detailed screening process, which includes a conversation with a member of our screening team.

The deposit will be applied toward your retreat balance, or fully refunded if our screening team determines the retreat isn’t the right fit for you at this time.

* These fields are required

1 Welcome

2 Price

3 People in your group

Guest 1		First Name* Last Name* Email* Gender
Guest 1		First Name* Last Name* Email* Gender

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4 Participant Info

Phone Number (including Country Code) *
Gender	We only ask this information for rooming assignment purposes.
Birth Date
Billing Address
Address 2
City
State/Prov.
Zip/Postal
Country
Mailing Address
Address 2
City
State/Prov.
Zip/Postal
Country
Emergency Contact Name
Emergency Contact Phone Number
Emergency Contact Email
Emergency Contact Relationship
Do you have any dietary restrictions or food allergies?
Special Accommodations
Payments do not include the cost of plant medicines. *	I understand that payments made through Retreat Guru do not include the cost of: plant medicine, psychedelics or similar products. There will be no additional charges for this retreat.Supplementary Products Exclusion: Participants acknowledge and agree that these Fees presented and payable pertain solely to Services and Offerings, and will not include the cost of any plant-medicines or similar products (collectively, "Supplementary Products") which may be provided, offered, or distributed by a Commercial User, or any other party, in connection with Services or Offerings. Retreat Guru shall bear no responsibility or liability in connection with any provision, offering, or distribution of Supplementary Products, and is not a party thereto. All capitalized terms used herein shall carry the same meaning as assigned to them in Retreat Guru's Terms of Service.

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5 Payment

Discount code

Sub Total	$0

Donations	$0

Taxes	$0

50% Deposit	$0
	$0 next payment date * last payment amount will be $0

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