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Online Registration Form
All prices are in US Dollars - for Currency Conversion, go to: http://www.xe.com/ucc/
Please note: prices subject to change without prior notice. If you have made a deposit we will honour the price you signed up for.
Borobudur Tour This is an optional addendum to many of the workshops, please check the "Workshop Pages" to see which ones.
$525 per person~ includes flight, single occupancy at the hotel, all transportation, 2 breakfasts, entrance to the temples and guides fees.
$450 per person~ shared occupancy option, for those traveling with a friend who will share their room.
Lunches, dinners, drinks and optional tipping not included.
Make a payment using your credit card or PayPal account, or mail your printed form along with your check to the address below. Checks in currencies other than U.S. dollars can be sent, but please be sure to check the conversion rates and send the according amount.
A minimum deposit of $500 is required at registration. Registrations after the deadlines must be accompanied by payment in full.
** Participants staying at Melati Cottages bringing a friend or spouse who is not a part of the program will pay the single occupancy price, plus a $250 supplemental fee, $350 for 12 Holy Nights. This will allow their guests to share their room, and will include breakfasts and lunches at the hotel. Transportation, yoga and extra curricular trips will be an additional cost. Details can be found under "Bringing a Guest" on the Accommodations page.
We ask that you only sign up for shared occupancy if you are coming with a friend or have discussed this with us. We will attempt to find room-mates for attendees, but cannot guarantee that we will be able to.
Email:
Title of workshop you will be attending:
Your Name:
Address:
Phone:
E-mail Address:
I give my permission for my contact info to be shared with the speakers and other participants. Yes No
Birth Data: (Optional for Astrology Workshops)
Date of Birth: (02/18 - month/day)
Year of Birth: (1951)
Time of Birth: (11:34 am)
Place of Birth: (New York, NY, USA)
For Astrology Workshops only: I give my permission for my birth data to be shared with the speakers and other participants at the workshop. Yes No
Packages
12 Holy Nights, Shared Occupancy - Bali - $1,950
12 Holy Nights, Single Occupancy - Bali - $2,150
12 Holy Nights, Tuition Only - Bali - $1,850
Mexico 2012, Full Workshop - $800 Mexico 2012, Chiron - $550
Mexico 2012, Venus - $350
Cosmic Mirror & Mastering Zodiac, Single Occupancy - Bali - $1,950
Cosmic Mirror & Mastering Zodiac, Shared Occupancy - Bali - $1,850 Cosmic Mirror & Mastering Zodiac, Tuition Only - Bali - $1,500
Cosmic Mirror, Single Occupancy - Ubud - $1,450
Cosmic Mirror, Shared Occupancy - Ubud - $1,350
Cosmic Mirror, Tuition Only - Ubud - $1,100
Mastering Zodiac, Shared Occupancy - Candidasa - $800
Mastering Zodiac, Tuition Only - Candidasa - $650
Horary 2012, Shared Occupancy - Ubud - $1,750 USD
Horary 2012, Single Occupancy - Ubud - $1,950 USD
Horary 2012, Tuition Only- Ubud - $1,500 USD
Soul Reflections, Shared Occupancy - Goa - $1,575 USD
Soul Reflections, Single Occupancy - Goa - $1,975 USD
Soul Reflections, Tuition Only - Goa - $1,300 USD
Shared Occupancy Borobudur Tour (payment in full is required at registration) - $450 Single Occupancy Borobudur Tour (payment in full is required at registration) - $525
Shared Occupancy Hampi Tour - price coming soon
Single Occupancy Hampi Tour - price coming soon
I am paying for this package in full I am making a deposit for this package (minimum deposit $500 USD) Amount I am paying now:
I will be paying via:
PayPal or Credit Card Once you submit your registsration form you will be directed to a page for PayPal payment or credit card payment via the PayPal site.
*Note: Due to conversion fees, PayPal is not accepting American Express cards from Australian residents. Other cards, however are accepted. We are sorry for any inconvenience this may cause.
Direct Bank Deposit
Please Contact Evelyn directly for the account and routing details.
Swift Code:SBBTUS66 (required if sending funds from outside the US)
Check - (Please make check out to "Evelyn Roberts" and mail to:)
Evelyn Roberts P.O. Box 783 Los Olivos, CA 93441, USA
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