Referral Form Name * First Name Last Name Email * Cell Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Do you know someone that has been to the Schenkliving Retreat? * Yes! I will give you the details next! No. I don't have a referral person at this time. Referral Person * Who do you know that has been to Schenkliving Retreat? Please list their full name and email address. Do they know you are using their name as a reference? What month(s) are you hoping to book? * Possible Arrival Date What dates are you looking for? MM DD YYYY Possible Departure Date MM DD YYYY How many people would be in your group? * Maximum of 5 people What other quilting retreats have you been to? -- what do you love about them? Why are you interested in the Schenkliving Retreat? * -- the location, the setting, etc Thank you for your interest in the Schenkliving Retreat. We will reach out to you as soon as we can! Expect an email either confirming your spot or providing you with our calendar link to review other dates. All the best, Susan + Stephen Schenk