Register

* These fields are required

Price

nights before and nights after

Please enter an amount between $5.00 and $5,000.00 *

	$

Participant Info

Purchaser Info

Name *
Purchaser Email *	We will send your gift certificate to this email address, usually within 2 business days. Please call if you have not heard from us after that time period. Please note that gift certificate purchases are non-refundable.
Phone *

Recipient Info

First Name *
Last Name *
Additional Names for Gift Certificate
Primary Phone

Additional Info

Message for Recipient
Comments or Special Needs	Please let us know if you have any comments or special needs. For those paying with personal credit, please leave a note here and select "personal check" in the Payment Options below.

Payment

Total	$0

Choose Payment Option

Includes a 2.75% non-refundable administrative fee.

Mail a check payable to Shambhala Mountain Center for 0 to our address:
Attn: Registrar
Shambhala Mountain Center
151 Shambhala Way
Red Feather Lakes, Colorado 80545 USA

Click on the Register button below and these instructions will be repeated on the next page.

	Includes a 2.75% non-refundable administrative fee.
Billing Name and Address	Copy from above
First Name *
Last Name *
Address *
City *
State/Province *
Postal/Zip Code *
Country *
Card Type *
Card Number *
Card Expiration *
Card Security Code *	usually a 3 digit code on back of card

	Includes a 2.75% non-refundable administrative fee.
Routing Number *	9-digit ABA routing number.
Account Number *	Account number including all zeros.
Account Type *
Bank Name *	The name of the bank that holds the account. Usually found above the "memo" line or at the top of the check.
Account Name *	The name associated with the bank account. Usually found at the top of the check.