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.

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

Full Accommodation, Shared Room 9-day Bali Workshops ~ $1,550 USD

Full Accommodation, Shared Room Financial Astrology ~ Bali ~$2,300 USD

Full Accommodation, Shared Room, 12 Holy Nights ~ Bali ~ $1,950 USD

Full Accommodation, Shared Room, Mikey in Paradise ~ Bali ~ $1,350

Full Accommodation, Single Occupancy 9-day Bali Workshops ~ $1,750 USD

Full Accommodation, Single Occupancy, Financial Astrology ~ Bali ~ $2,500 USD

Full Accommodation, Single Occupancy, 12 Holy Nights ~ Bali ~ $2,150 USD

Full Accommodation, Single Occupancy, Mikey in Paradise ~ Bali ~ $1,500

Tuition Only 9-day Workshops (for off-site participants) ~ Bali ~ $1,400 USD

Tuition Only (for off-site participants) Financial Astrology ~ Bali ~ $2,150 USD

Tuition Only Mexico Workshop ~ $850

Tuition Only Mikey in Paradise ~ Bali ~ $1,000

Shared Occupancy Borobudur Tour (payment in full is required at registration) ~ $450

Single Occupancy Borobudur Tour (payment in full is required at registration) ~ $525

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