In order to make your final payment for The Healing Heart of Bali retreat, please scroll down and complete the form below:

2024 Bali Retreat Remaining Balance

If you have technical difficulties with this form or have additional questions, you can contact Laura’s assistant, Jen, by email at or call 330-421-0111 (Jen is on Eastern Time and is available most weekdays from 7 am PT/10 am ET until 3 pm PT/6 pm ET.

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Billing Address (exactly how it appears on your credit card bill).*


Remaining Balance*
Credit Card
Supported Credit Cards: MasterCard, Visa
Expiration Date
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