Mount Shasta Registration Form

To hold your spot we must have this completed form and payment of your $800 non-refundable deposit.
  • This will be used on your name-tag.
  • Be sure to include your country code.
  • Be sure to include your country code.
  • Please indicate your preference. Room choices are very limited and will be allocated on a 1st come, 1st served basis. Due to the unique configurations of the rooms, we may be unable to accommodate singles requests or original preferences. Please contact Susan@JonetteCrowley.com with questions
  • We will select a roommate if needed.
  • We will inform the hotels and restaurants of your preferences and will do our best to accommodate your dietary needs and preferences.
  • Your full name as it appears on Facebook so we can add you to our Mount Shasta Private Group. Leave blank it you do not have a Facebook account
  • Be sure to include your country code.
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    PASSPORT INFORMATION

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    EXACTLY as on passport. We cannot purchase air tickets if the name is not complete.
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    Write out the full month name.
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    Write out the full name of the month.
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    Month/Day/Year
  • Check all that apply: *Totals are based on double occupancy.
  • I intend to fully participate in this Tibet Spiritual Tour. I understand that spaces are subject to availability and my registration is not considered complete until receipt of the non-refundable $800 deposit AND this completed registration form. (Please use your computer mouse to sign in the box below.)
  • Printed Name from above signature
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