<p> “OCTOBER SPIRIT RETREAT” Lake Tealwood in ROLLA, MO (Sponsored by The Little Shoppe of Auras) Couples/ Shared Lodging registration - $425.00 Single Registration - single lodging - $275.00 Lodging and meals provided (2 nights/3 days) Smoke Free environment – Smoking is allowed outside only.. 4 rooms are equipped with 2 beds to accommodate room mates comfortably. These rooms will be on a first come first serve basis for pre-registered attendees sharing accomodations. </p><p>Full payment Required by September 23rd</p><p>______Enclosed is my Couples/ Shared Lodging Registration fee of $425.00. </p><p>______Enclosed is Singles / Single Lodging Registration fee of $275.00</p><p>If charging a credit card: Mastercard/Visa #______Exp date_____ CV numbers on back of card…last 3 numbers needed (xxx xxx xxx ______) Billing address for card Street address______and Zip code______</p><p>Please register me / us for the 2006 October Spirit Retreat and forward a confirmation, receipt, map to the lodge, and the itinerary to:</p><p>Name:______(*shared lodging)Name:______</p><p>Address:______</p><p>City/State______Zip______</p><p>Phone______****Email______</p><p>Date of Registration:______</p><p>Special Dietary Needs: (Please describe specific needs if any, i.e. no salt, diabetic, etc..)______</p><p>Make Checks/money orders payable to: The Little Shoppe of Auras. Mail registration form to: The Little Shoppe of Auras 109 E. Bethalto Drive Bethalto, IL 62010</p><p>If you have any questions please contact us at [email protected] or call 618 377 9055. Store hours: Tues-Sat 12-7 / Closed Sunday and Monday</p>