MoMs Weekend Reservation Form

Date(s) of Retreat
Main Contact - Coordinator Information
Name
E-mail
Street Address
City
State
Zip
Phone:
(Day)
(Evening)
(Cell)
Craft that you will
be working on
Emergency Contact:

The following terms and conditions will need to be agreed upon by all persons that are guests of Memories on Miramar.

A 50% deposit ($80.00) is required within 10 days to reserve your space at Memories on Miramar. All balances are due 30 days prior to the retreat. If we do not receive your balance within 30 days of the retreat, your spot will be canceled and no refunds will be made of your deposit. Final balances paid cannot be refunded.

You will receive a confirmation letter after final payment has been received. If it becomes necessary for you to cancel your reservation, notify us immediately via e-mail at contact@momretreat.net or phone: 651-998-0519 or 715-635-7035.

Cancellations are accepted at the sole discretion of Memories on Miramar management.

By filling in the above form clicking SEND button below I confirm that I have read the refund and cancellation agreement and agree to its terms. I hereby release Memories on Miramar of any liability, claims, lawsuits, damages, losses, costs and expenses of any kind, which arise while using Memories on Miramar Retreat Cabin.

Make check payable to: Memories on Miramar.

Mail to:

Memories on Miramar
591 Lake View Drive
Woodbury, MN 55129