RETREAT REGISTRATION FORM
* Required Field
Your name:
*
*
Mailing Address:
*

 Phone:
Email:
Date of the retreat
you wish to attend
*
Questions, comments, or feedback:
IF YOU PREFER TO PAY BY MAIL
PLEASE FILL OUT THIS FORM, MAKE A PRINT AND MAIL IT WITH YOUR MONEY
ORDER IN THE AMOUNT OF
$195.00 for 1 day     $ 390.00 for 2 days

Make it out to: Asia Dynamic

Mail to:
1235 Medinah Ct
Winter Park, Fl 32792

After received your payment we will notify you to confirm the date of the retreat.  
If retreats are cancelled for any reason, we will notify you immediately and we will
mail you a full refund within 5 business days after the notification.
www.ironandsilkcenter.com