ISHA HTSM 101-103 2023

*First Name

*Last Name

*Address 1

*City

*State

*Zip

*Phone

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*Please choose your lodging and meals below

Please note that this is for your meals and lodging only and does not include the program fee to ISHA

Full time, meals and lodging, 101-103 only , four nights, 12 meals ($596)

ALL SESSIONS 101-105 ($1,341)

Dietary Restrictions

Gluten Free

Vegan

Vegetarian

Dairy Free

Sugar Free

none

Other (Please describe below)

if other, please explain

Would you like give a one-time donation to support the ongoing ministry of Rolling Ridge?

Please give to support the ongoing ministry of Rolling Ridge.

100.00 ($100)

50.000 ($50)

25.00 ($25)

Other

Or choose your own donation amount

Only number values are allowed

Please contribute towards the 3% bank charge we incur for accepting credit cards.

Only number values are allowed

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