Payment Form - Monastic Academy for the Preservation of Life on Earth

MAPLE Payment Form

Please fill out the following form before your stay. If paying with Paypal, you will be redirected to complete your payment. If paying with check, please address and send to Monastic Academy at 751 Page Road, Lowell, VT 05847. You can also bring check or cash with you and give it to our guest manager.

Name*
First Last
Email*
Phone
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Program*
- Guest Stay
- Event or Retreat Stay
- Residential Membership
- MAPLE Fundamentals
- Shuttle
- Resident Training Fee
- Resident Vehicle Usage
Payment Total*
Credit Card

Discover
MasterCard
Visa
Supported Credit Cards: Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
I understand this is a non-refundable payment.*
Yes