I confirm that I am registering for the New Years Desire Map Workshop on January 5, 2019 *

Yes

Name *

First Name

Last Name

Phone

(###)

###

####

Please pick the rate you would like to be invoiced for: *

Community (pay for yourself) $75

Sustainer (pay for yourself and sustaining Ruthie's Desire Map work) $100

Uplifter (pay for yourself, sustaining Ruthie's Desire Map work, and a scholarship for others) $125

If paying by PayPal, do you accept a $2 charge to cover PayPal fees?

Yes

I will choose a different option

Please indicate that you know you will be expected to purchase a Desire map book, either through the link on the event page or at a retailer of your choice. *

Yes