Please complete all fields below (fields in green are required). Email ML2 with your questions, comments or suggestions or call 800-445-6380. We want to hear from you! Through this page you can register for a trip or to become an advocate.

I want to be an advocate for MyLife, MyLifestyle in the city/metro area of

Trip cost is $750 per person, double occupancy; $695 per person, triple occupancy and $650 per person quad occupancy. If you would like to travel as a single, your cost is $1120.

I want to attend a Mylife, Mylifestyle trip to as a

I/We are interested in participating in the custom activity (Cost included in total price)

 

Only one room occupant needs to register. If you are sharing a room with others, please fill out the following:

Occupant 1: First Name: Last Name:

Occupant 2: First Name: Last Name:

Occupant 3: First Name: Last Name:

Occupant 4: First Name: Last Name:

 

First Name:

Last Name:

Address:

Address Line 2(optional):

City:

State:

ZIP:

Phone:

Email:


 


 

Credit Card Type:

Credit Card Number:

Expiration Date (mmyyyy)

 

Deposit Policy:  Your card will be charged $200 per person deposit for your trip. Remaining balance will be charged to this card two weeks prior to your trip. You may cancel your trip without penalty one month prior to the trip. Within one month, you will receive a 25% penalty. Within one week of the trip, you will receive a 75% cancellation penalty. Trip Insurance is available for purchase. It is also possible to exchange trips, based on availability.

I am interested in trip insurance (A representative will contact you regarding cost)

Please use the box below for anything else you would like us to know:

 

 

 

 




 



 


 

 

 

 

 

 

 
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