Registration Form
 

All prices are in US Dollars

All payments through PayPal incur a 4% additional charge, including Credit Cards.

Make a payment
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.

The following penalties will apply on all cancellations:
Minimum fee $500 per person
31-75 days prior to workshop - 50% of package price
0-30 days prior to workshop - 100% of package price

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

Digital Photography one Oh! one - Mexico - $1,175 ($1,222 PayPal/CC)

FAS: Grounding the Vision - Single Occupancy - Bali - $2,275 ($2,366 Paypal/CC)

FAS: Grounding the Vision - Shared Occupancy - Bali - $1,875 ($1,950 Paypal/CC)

FAS: Grounding the Vision - Tuition Only- Bali - $1,500 ($1,560 Paypal/CC)

Journey into the Heart of Karma - Single Occupancy - India - $2,345 ($2,439 Paypal/CC)

Journey into the Heart of Karma - Shared Occupancy - India - $1,825 ($1,898 Paypal/CC)

Journey into the Heart of Karma - Tuition Only - India - $1,500 ($1,560 Paypal/CC)

The 5Rhythms® - Single Occupancy - India - $2,345 ($2,439 Paypal/CC)

The 5Rhythms® - Shared Occupancy - India - $1,825 ($1,898 Paypal/CC)

The 5Rhythms® - Tuition Only - India - $1,500 ($1,560 Paypal/CC)

Shared Occupancy Borobudur Tour (payment in full is required at registration) - $475 ($494 PayPal/CC)

Single Occupancy Borobudur Tour (payment in full is required at registration)- $525 ($546 PayPal
/CC)

Single Occupancy Hampi Tour - $650 ($676 PayPal/CC)

Shared Occupancy Hampi Tour - $550 ($572 PayPal/CC)

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.


Check - (Please make check out or money order, US$$$"s only, 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