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Registration

1Traveler Information
2Activity Registration
  •  

  • Associate Information

  • (as it appears on passport)
  • (for name badge)
  • (as it appears on passport – write "n/a" if no middle name is listed)
  • (as it appears on passport)
  • MM slash DD slash YYYY
  • Secrets Puerto Los Cabos is offering the Burkhart room rate for three days prior and three days post our event, subject to availability. If you would like to extend your stay at the resort, please contact Delene prior to booking your flights so she can check on availability and quote you pricing.
  • (Must arrive no later than Wednesday, May 1st. The Welcome Reception will begin at 6pm. If arriving earlier than May 1st and staying at the resort, availability will need to be confirmed prior to scheduling your flights.)
    MM slash DD slash YYYY
  • (If you extend your stay past Sunday, May 5th, availability will need to be confirmed.)
    MM slash DD slash YYYY
  • To send flight details and registration confirmation.
  •  

  • Guest Information

  • (as it appears on passport)
  • (for name badge)
  • (as appears on passport – write "n/a" if no middle name is listed)
  • (as appears on passport)
  • MM slash DD slash YYYY
  • (if different than BDS Associate.)
  • (If different than BDS Associate, must arrive no later than Wednesday, May 1st. The Welcome Reception will begin at 6pm. If arriving earlier than May 1st and staying at the resort, availability will need to be confirmed prior to scheduling your flights.)
    MM slash DD slash YYYY
  • (If different than BDS Associate, must arrive no later than 3pm PST.)
  • (If different than BDS Associate, if extend stay past Sunday, May 5th, availability will need to be confirmed.)
    MM slash DD slash YYYY
  • (If different than BDS Associate, no time restrictions.)
  • (if different than BDS Associate.)
  •  

Questions

Contact Delene Losch
253.224.4418
DLosch@BurkhartDental.com