Pay through Paypal or mail in the registration form with a check. Please scroll down for form

PLEASE Scroll down and: FILL IN THE REGISTRATION FORM BELOW THE PAYMENT BUTTONS!!! Please read REFUND policy.

Early Belly Rate deadline: July25

Regular registration deadline: August 30th

Late registration: After august 30th

ASK ABOUT PAYMENT PLAN

Dancers (includes all workshops)

Early Belly $295 Regular Registration $325 Late Registration $375

Dancers (3 days only)

Early Belly $265 Regular Registration $295 Late Registration $345

Daughters

Early Belly $195 Regular Registration $210 Late Registration $250

Non-Dancers (No workshops)

Early $230 Regular Registration $255 Late Registration $295

Vendors  $50 Fee in addition to the regular fee

Pay online with paypal to: mezdulene@mezdulene.com

REFUND POLICY
Retreat packages are non-refundable after purchase. If you cannot attend, you may sell, transfer, or gift your space to someone else. Please let us know if you are unable to participate and who will be taking your place so we can keep our registration roster up to date. Thank you!


By completing my purchase, I understand and agree to the refund policy. I hereby release Mezdulene Reed/Bliss, Camp Myrtlewood, and all staff, instructors, and vendors associated with Mezdulene’s Belly Dance Retreat for any injuries or damage that may occur while I am attending Mezdulene’s Belly Dance Retreat.

Online registration:

Mail in registration:

 NAME(S)________________________________

DANCE NAME______________________________

E-MAIL ADDRESS__________________________________________________

ADDRESS____________________________________

CITY/STATE/ZIP_________________________

PHONE_______________________________

YOUNG CHILD__ROWDY CABIN__QUIET CABIN__

I WANT TO BE IN CABIN WITH:_________________________________________________________

COST: Until July 25 Until August 30  After August 30

____Dancers (includes workshops).....$295.00...........$325.00…………$375.00

____Dancers (3 days only).……….....$265.00...........$295.00…………$345.00

____Daughters and Granddaughters...$195.00….......$210.00……….$250.00

____Non-dancers (no workshops).…..$230.00..…….$255.00……….$295.00

____Vending Space...................................................$50.00 plus regular fee

I am enclosing: $____________No Refunds (see Refund Policy)    

 Credit Cards Now Accepted

Credit Card Number ________________________________________

Expiration ______________

Three digits on back of card__________ Billing Zip Code________________

You may also pay through paypal to mezdulene@mezdulene.com

Please remit checks to Mezdulene, P.O. Box 3145, Coos Bay, OR 97420.  Questions?  Call (541)-315-5550.