Joy in the Violet Flame Retreat – Broadcast Registration

Spring Retreat 2016

Joy of the Violet Flame A Scientific Plan for Your Victory!

Retreat Registration - Broadcast A link to the LIVE broadcast will be sent after the complete registration process.
Name *One name per registration form, please. First Last
Email *
Address *
NOTE: Broadcasting is available ONLY outside the Bozeman-Livingston area.Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Phone *
Retreat 2016 Registration *
Note: This payment system does not work with the OPERA browser. It is best to use Safari, Firefox, or Chrome.

Sorry, refunds for registrations are not available.
$45 - Registration for broadcast
Scholarship Fund - I would like to contribute $5 or more so that someone in need can attend. Enter the scholarship amount without a dollar sign.
Payment Method *
Payment by check is no longer available.I am paying now by debit, credit card, or with my PayPal account.
Instructions for Paying by Credit/Debit Card READ THESE INSTRUCTIONS BEFORE PROCEEDING! For First Time Users of the PayPal Payment System. Your Credit/Debit cards are processed through PayPal (a secured site). At the link below, there are pictures and step-by-step instructions. Please note: you are not signing up for PayPal; you are only using their system to make payment. If you require these instructions, please click here before clicking the SUBMIT button.
If you are using a cell phone, you may have trouble with paying on PayPal.
Broadcast Streaming Link
To receive the broadcast link, you must make payment and then sign an online ENROLLMENT AGREEMENT and WAIVER form.

Please click this link NOW to access this form, but DO NOT submit it until you have made your payment. Thank you!

Verification

* For security purposes, re-type the numbers you see in the top shaded box. If you can't see them clearly, click on the horn to hear the numbers, or click on the button above the horn to get a new set of numbers.
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