Register with an Installment Plan


Fill out the form below, then follow the yellow 'Buy Now' link if you wish to pay your Andes Summit Event Registration Fee in three monthly installments of $1,345 USD.


If you would like to make a $750 deposit to reserve your spot, please click here (requires full payment by March 1).
If you prefer a one-step registration process, please click here (requires payment in full).


Please note:

  1. This form is only used for collecting basic registration information, and can only be used to register one attendee at a time.

  2. Your registration will not be complete until you have clicked on the "Buy Now" PayPal button below and consented to the 3-month subscription plan.

  3. You do not need a PayPal account to complete checkout. Once you click on the "Buy Now" link below, you may sign up for your subscription plan with a credit or debit card by clicking on the link near where it says "No PayPal account?" on the bottom right-hand side of the page.

Once you have completed this form and set up your 3-month plan, contact us if you are also interested in registering for any Additional Trip Options or Additional Healings. You have to register separately for these and other Andes Summit offerings.

If you have been referred by an individual or organization, please remember to note it in the "Referral Code" below.

Fill out my online form.
There are tons of Wufoo features to help make your forms awesome.
Referral Code (If Applicable)