Wayumi Retreat- Payment

Name

This address will receive a confirmation email

Phone

Today's Date

Payment $79

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

October 1-3

Please fill out this form and click submit to register and pay for the Wayumi Expedition. For more information about Wayumi, please go to the IBC website.

Wayumi Retreat- Payment

Description

Please Fix the Following