PRIZMS Center for MindBody Integration LLC

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RATES, REGISTRATION and PAYMENT for

The Space Between, A Mountain Weekend Retreat:

Creating Sacred Space and Endless Possibilities

September 23-25, 2011 in Blowing Rock, North Carolina

To return to the Retreat Information Page, CLICK HERE

Early Registration Deadline:  FRIDAY, AUGUST 26, 2011



Until August 26, your retreat space for any full-registration package may be held with a nonrefundable deposit of $50.00 with the remainder paid by the due date below to receive the lower rates.  After August 26, the full payment must be made.

To REGISTER/PAY ONLINE, choose the appropriate package or items below.  Then, complete and submit the online registration form below AND pay by credit/debit card using the safe and secure PayPal buttons above the form. 

To REGISTER BY MAIL OR FAX/PAY BY CHECK, you may either submit the online registration form below, or CLICK HERE to get a PDF Form which you can complete and mail with your payment.  PDF Forms also can be faxed to Prizms at: (336) 724-2524.  Checks should be made payable to "Prizms" and submitted with the PDF form, which can be mailed to:  Prizms/Retreat, P.O. Box 20323, Winston-Salem, NC 27120.  Please include "Registrant's Name" on the memo line of your check. Payments by mail MUST BE RECEIVED by Prizms by the deadline date in order to receive early registration special rates.

"Full Retreat/Single Room Lodging" Package (*), includes:
~Full retreat program
~SINGLE occupancy of two-bed room in BRCC lodge for Friday and Saturday nights
~Breakfasts and lunches on Saturday and Sunday (4 meals; dinners optional as add-ons below)
~12.0 Continuing Education hours
Early Registration (total paid by Friday, August 26):  $350.00 (or $50 + 300 remainder)
Registration (after August 26):  $375.00

"Full Retreat/Double Room Lodging" Package (*/**), includes:
~Full retreat program
~Double occupancy of two-bed room in BRCC lodge for Friday and Saturday nights
~Breakfasts and lunches on Saturday and Sunday (4 meals; dinners optional as add-ons below)
~12.0 Continuing Education hours
Early Registration (total paid by Friday, August 26):  $285.00 per person (or $50 + 235 remainder)
Registration (after August 26):  $310.00 per person
**This package is only available for individuals who have someone with whom they wish to share a room.  Each registrant will need to register and provide the name of the other person with whom you wish to share a room to help us in making room assignments.  Cost above is "per person."

"Full Retreat/Day Commuter" Package, includes:
~Full retreat program
~Lunches on Saturday and Sunday (2 meals; breakfasts and dinners optional as add-ons below)
~12.0 Continuing Education hours
Early Registration (total paid by Friday, August 26):  $215.00 (or $50 + $165 remainder)
Registration (after August 26):  $240.00

Optional Add-ons (if not included in package above):
Friday dinner:  $11.00
Saturday breakfast:  $8.50
Saturday lunch: $9.50
Saturday dinner:  $11.00
Sunday breakfast:  $8.50
Sunday lunch:  $9.50

Single Day Registration Options, include:
~Retreat program for a specific day
~Lunch on Saturday and/or Sunday
~Does NOT include Continuing Education hours (MUST ATTEND ENTIRE RETREAT TO RECEIVE CE HOURS)

Friday ONLY Package (evening): $20 (by August 26); $30 (after August 26)
Saturday ONLY Package (morning, afternoon, evening): $105 (by August 26); $115 (after August 26)
Sunday ONLY Package (morning, afternoon): $100 (by August 26); $105 (after August 26)

*Note:  Blue Ridge Conference Center's lodge rooms have two beds and do NOT have telephones or televisions.  Internet access is available in the main lobby area.  Check-in time for rooms is after 4pm on Friday;  Check-out time is by 11:00am on Sunday.

CREDIT/DEBIT CARD PAYMENTS:  Use the PayPal buttons below

Full Packages by August 26
Registrant Name
Roommate Name (if Double Pkg)

Optional Add On's
Registrant Name

Single Days by August 26
Registrant Name

ONLINE REGISTRATION FORM: 

Fill out and "send" the electronic form to the right.  Your information will be transmitted securely to Prizms.

You can also CLICK HERE to obtain the PDF Brochure and Registration Form to submit by mail or fax (see above)

PLEASE NOTE THAT, IN ADDITION TO REGISTERING, YOU MUST ALSO PAY THE TOTAL PACKAGE RATES BY THE DEADLINES ABOVE TO RECEIVE EARLY REGISTRATION SPECIAL RATES.

First Name
Last Name
E-mail Address
Address Line 1
Address Line 2
City
State
Zip Code
Daytime Phone() -
Evening Phone() -
Which "package" are you registering for?
Roommate name (for double lodging packages):
Any dietary restrictions?
Any handicap accessibility needs?
Any other information you need us to know about you?