All prices are in US Dollars

Borobudur Tour
This is an optional addendum to many of the Bali workshops, please check the "Workshop Pages" to see which ones.

$450 per person~ includes flight, double occupancy at the hotel, all transportation, 2 breakfasts, entrance to the temples and guides fees.
$525 per person~ single occupancy option
Lunches, dinners, drinks and optional tipping not included.

Make a payment using your credit card or PayPal account, or mail a check, then send this form to the address below.
A minimum deposit of $500 is required at registration.
Registrations after the deadlines must be accompanied by payment in full.

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.

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

Horary 2012, Single Occupancy - Ubud - $1,950

Horary 2012, Tuition Only- Ubud - $1,500

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 $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

I learned about the Heaven and Earth Workshops from:

If you have any questions, please contact Evelyn Roberts at:   evelynroberts@earthlink.net