Juliana Coles Presents: Me and Pete Retreat at Ojo Caliente Hot Springs
"The Wild Bride: Courting the Self Through Visual Journaling," September 20-24

Registration  Form:

Name:___________________________________________________________________
 
Address:_________________________________________________________________
              ________________________________________________________________________
 
________________________________________________________________________
 
________________________________________________________________________
 
Email:___________________________________________________________________
 
Phone Number:____________________________________________________________
 
Payment Amount: __________________________________________________________
(checks please, made out to Me and Pete.) 
Mail checks to:

Juliana Coles
829 San Lorenzo NW
Albuquerque, NM   87107)
 
Registration requires a non-refundable deposit of $200.00 to reserve your place in the retreat.  Full Payment is due September 1.  Space is limited and fills quickly. Confirmation Letter & “Packing Instructions” will be sent as soon as payment is received.