ChargeKeep | Payment Form

Amount (USD)

One-Time payment

Costa Rica - August 24-28, 2022

$450 DEPOSIT IS REQUIRED TO RESERVE YOUR SPOT. You will receive an email from your hosts/organizers to CONFIRM your spot. A payment schedule will be provided with the entire balance being paid in full by or before June 10, 2022. All deposits and payments are non-refundable.

Name

NAME *

EMAIL *

AGE *

HOW DID YOU FIND US? *

I understand I am responsible for my flight or other means of transportation. *

YES

I understand that all payments and deposits are non-refundable. *

YES

I understand that I am required to submit negative PCR test result no more than 72 hours before this event. *

YES

Social Media Handle *

Card Number

Expiration Date

CVC