REGISTER FOR GEMS FAMILY DISNEYWORLD RETREAT TODAY! PRE-EVENT DAY is WEDNESDAY, 3/4/20. SESSIONS END NOON SATURDAY, 3/7/20 FOLLOWED BY SOLD OUT BEHIND-THE-SCENES TOUR SATURDAY AFTERNOON (WAIT LIST ONLY)
STEP 1: Complete contact & attendee information
Primary Doctor Attending:__________________________________________ Spouse Attending: _____________________ Additional Doctors Attending:___________________________________________________________________________ Team Members Attending ____________________________________________________________________________ City: __________________________________ State:_______ Primary Doctor’s Cell Phone:__________________________ Email Address for Confirmation ____________________________________________ Today’s Date___________________
STEP 2: Enter into each line, the TOTAL NUMBER attending EACH event
____ Friday Evening Gems Family Retreat Dinner ____ Saturday Gems Members’ Doctor & Spouse Mastermind Session ____ Saturday Gems Team Members’ BREAKOUT Mastermind Session ____ Saturday Gems Disney Behind the Scenes Tour (1st 60 registrants) Behind-the-scenes tour is SOLD OUT. Indicate number for WAITING LIST
____ Vance Morris’ Systematic Magic LIVE (add $447 per person) ____ Thursday Keynote and GG12 Certified Coaches Presentations ____ Thursday Evening Illuminations & GG12 CELEBRATION Dinner ____ Friday Doctor and Spouse Mastermind Session ____ Friday Team Members’ BREAKOUT Mastermind Session
Please enter any special dietary needs here __________________________________________________________________________
STEP 3: Fill in the 6 yellow cells, then enter credit card & signature
__Visa __MC __AMEX __Disc # ___________________________________________________________ City: ______________________________ State: ______ Signature Authorizing Charge: ________________________ Date: ________ Name On Card: _____________________ Exp: ___/___ Upon registration, tuition will be charged to your credit card on file. After registering for the event, you will receive a confirmation which will include a link to book your room(s) in the event hotel at our group rate if space within the Gems group block remains available. “Disney Behind the Scenes” Tour is limited to the first 60 people (and is currently sold out). The PRE-EVENT DAY, “Systematic Magic LIVE” with Vance Morris is an additional $447/person (but worth TEN TIMES that!) Your Retreat Tuition is FULLY REFUNDABLE if you cancel at least 30 days prior to the event. *GG12 & GG12 Alumni Members credit card will be charged a $200 REFUNDABLE Deposit, to help plan for meals and retreat space. The FULL $200 will be REFUNDED the week after you ATTEND the retreat (or if you Cancel 30+ days Prior to event). Your card will be charged $447/person for the Pre-Event day. CHARGE MY CREDIT CARD ON FILE (check the box and sign above) BONUS GIFT for ALL doctors registering before 2/29/20, choose any one of our 7 Gems Swag. See photos top of this page, of the 6 Gems Family Swag T-Shirts, or , you may choose one of the Planet Gems Thermal Cooler Bags (out of this world!). T-SHIRT # ___ SIZE ___ or Cooler Bag ___
FAX FORM TO 1-508-861-1550 (Outside USA/Canada FAX 001-508-861-1550) OR CALL 1-888-880-GEMS (4367) TO REGISTER TODAY!
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