The Power of Positive Thinking

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1 Welcome

2 Tuition

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Single Room

Private room, shared bathroom.

Guests in Room:
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$320

$320

$320
Single Room
Private room, shared bathroom.

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Double Room

Double Room, shared bathroom

Number of Guests:
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$260

$260

$260
Double Room
Double Room, shared bathroom

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Apartment (1 person)

Private apartment, 1 queen bed, writing desk, seating area, private bathroom.

Guests in Room:
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$450

$450

$450
Apartment (1 person)
Private apartment, 1 queen bed, writing desk, seating area, private bathroom.

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Apartment (2 people, Queen Bed)

Private apartment, 1 queen bed, writing desk, seating area, private bathroom.

Guests in Room:
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$700

$700

$700
Apartment (2 people, Queen Bed)
Private apartment, 1 queen bed, writing desk, seating area, private bathroom.

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Apartment (2 people, Twin Beds)

Apartment, 2 double beds, writing desk, seating area, private bathroom. Book for you and a friend.

Guests in Room:
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$700

$700

$700
Apartment (2 people, Twin Beds)

Apartment, 2 double beds, writing desk, seating area, private bathroom. Book for you and a friend.

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Apartment (3 people)

Private apartment, 3 twin beds, writing desk, seating area, private bathroom. Either book for you and 2 friends.

Guests in Room:
In rooms

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$700

$700

$700
Apartment (3 people)

Private apartment, 3 twin beds, writing desk, seating area, private bathroom. Either book for you and 2 friends.

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Apartment (4 people)

Private apartment, 4 twin beds, private bathroom. Book for you and 3 friends.

Guests in Room:
In rooms

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$1,400

$1,400

$1,400
Apartment (4 people)

Private apartment, 4 twin beds, private bathroom. Book for you and 3 friends.

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3 People in your group

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

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4 Participant Info

Spiritual Name
Gender	If you are staying in a shared room and you selected Other Gender, please explain in the Comments box below under Additional Information.
Birth Date
Have you been at the Ranch before? *	YES NO
How did you hear about us? *
If you selected other, please describe... *

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5 Contact Information

Cell Phone *
Alternate Phone
Address *
Address 2
City *
State/Prov. *
Zip/Postal *
Country *

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6 Emergency Contact Info

Emergency Contact Name *
Emergency Contact Relationship
Emergency Contact Phone *
Emergency Contact E-mail *

7 Dietary Notes

Do you have any food allergies or dietary restrictions?
Dietary Restrictions (Select all that apply)	Vegan Dairy-Free Gluten-Free Celiac Disease Nut Allergy None

8 Additional Information

Medical Issues *	If none, please enter 'none'.
Prescribed medications	If none, please enter 'none'
Comments or Special Needs
How will you arrive? *	Private Vehicle (Arriving before 4:00 PM) Private Vehicle (Arriving between 4:00 - 6:00 PM) Private Vehicle (Arriving after 6:00 PM) Bus (Arriving at 12:47 PM in Woodbourne) Bus (Arriving at 2:57 PM in Woodbourne) Please call us if your transportation plans change. For bus arrivals, we will pick you up from the Woodbourne Fire Station in Woodbourne (last stop on local bus). Please call when getting on the bus in NYC to confirm bus time.

9 Agreements

Ashram Guidelines and Cancellation Policy *	I have read and agree to the Ashram Guidelines and Cancellation PolicyPlease read the Ashram Etiquette, Guidelines and Cancellation Policy
Email newsletter *	Please send me the email newsletter No thank you
Photo Release *	I have read and agree to the Photo Release I have read the Photo Release and prefer not to be photographed Please read the photo release policy

10 Donate

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11 Total

For security purposes, the address you enter for billing must match your credit card billing address. If your credit card transacation fails, do not repeat attempts. Instead, please contact the Ashram and we can assist.

Sub Total	$0

Donations	$0

Taxes	$0

Deposit	$0

Pay	Choose to pay a deposit or the full amount right now.

Due Now	$0 $0

Remaining Balance	$0

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Last Name
Address *
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Card Expiration *	Month Year
Card Security Code	usually a 3 digit code on back of card

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1 Welcome

2 Tuition

Select an option*

Single Room

Double Room

Apartment (1 person)

Apartment (2 people, Queen Bed)

Apartment (2 people, Twin Beds)

Apartment (3 people)

Apartment (4 people)

3 People in your group

4 Participant Info

5 Contact Information

6 Emergency Contact Info

7 Dietary Notes

8 Additional Information

9 Agreements

10 Donate

11 Total