Personal InformationFirst Name*Last Name*Address* Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific Email* Phone*Payment OptionsPlease choose one...*$75 - Six hour retreat with lunch (details below) provided by Ethos Health$65 - Six hour retreat and bring your own lunch$25 - Vendor Only Ethos lunch includes: Salad greens – mix of dark leafy greens and lighter greens, chick peas, black beans, red and yellow peppers, cucumber, scallions, red cabbage, and carrots. Dressing on the side will include an option of balsamic recipe with nuts, and balsamic recipe without nuts. Vendor Participant $0 - Vendor table (with prior written approval) Check this box if you are a vendor and are participating in the event. Requires approval from Denise, Kathryn or Peggy, and returned vendor agreement to firstname.lastname@example.org Terms & Conditions: Must register by 1/24/18, and non-refundable after 1/24/18 Full refund will be provided if we need to cancel due to ice/snow. Wear comfortable clothes, and please bring a yoga mat. Total $0.00 After submitting your information you will be redirected to PayPal. Please make your payment there. You do not need to create a PayPal account to make your deposit (under “Choose a way to pay” select “Pay with a debit or credit card”). PayPal accepts all major credit cards and debit cards.