TAO Merchandise: The South Florida Center for Jewish Renewal, Kabbalah, Spiritual, Meditation, Temple Adath Or, Fort Lauderdale, Miami, Palm Beach, Boca Raton
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Spirit At Sea

Registration Form
 
   Passenger Details d
 

Passenger 1
(Name as it appears on valid passport, certified copy or original birth certificate)

 

Passenger 2
(Name as it appears on valid passport, certified copy or original birth certificate)

 
 
Mailing Address :
 
City :
 
State :
 
Zip Code :
 
Phone - Home :  
(E.g.:111-111-1111)
 
Phone - Office :  
(E.g.:111-111-1111)
 
Phone - Cell :  
(E.g.:111-111-1111)
 
Email Address:  
 
  Retreat Pricing & Payments d
 
 

Regular Price *
Per person, double occupancy


TAO Members
Per person, double occupancy

  Single Supplement -- Add $300
 

Payment in Full by January 11 **


$250 Deposit Balance March 5


Payment in Full by January 11 **


$250 Deposit Balance March 5


Cruise & Retreat


$ 503


$ 5288


$ 383


$ 408


Port Charges & Taxes


125


125


125


125


Retreat Per Person


$ 628
 


$ 653


$ 508


$ 533


Total Amount is $


Single Supplement -- Add $300

Insurance is available at an additional charge.
Call XXXX for details: 954-000-0000
 

  * Join TAO and get the TAO member price.
 
Payment Options In Weekend Retreat
 
 
 
  Room Mate Details d
 
Name of person you wish to room with if different from above
 
 
 
 
 
 
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