|
|
The
Seed of Life Workshop - Level 1
Tonalli Retreat Center -
Tenancingo,
Mexico
July 20-27, 2008
|
Workshop
Registration and Payment Form - International
|
| Please
print, fill in and send this payment and registration form to
the Flower of Life Research
Office (you will find the address at the end
of this document.) You may send by fax, email, or postal mail.
In any case, your payment and registration form MUST reach our
office by June 27th, 2008 for the cash discount, or July 4th,
2008 for all other registrations. If you are sending by mail,
we recommend that you send by Express Mail (within the USA)
or by courier (such as Fed Ex) if you are outside of the USA)
to insure delivery. Spaces are limited and are reserved on a
first-come, first-served basis. Spaces may only be reserved
by full payment. |
To
get this Registration Form in PDF Format, click
here.
|
|
SECTION
1 - CONTACT INFORMATION
|
|
Your Name:
______________________________________________ Country: _________________
Address:
___________________________________________________________________
City,
State/Province & Postal Code: _______________________________________________
Telephone:
___________________________________ Fax: ___________________________________
Please include telephone country codes and area
codes if you live outside the USA.
Email:
________________________________________________________________________________
|
|
SECTION
2 - YOUR FOL CONNECTION
(If
you are a FOL Facilitator, you may skip this section)
|
|
In
order to qualify for this Seed of Life Workshop, you must be
a registered graduate
with one of our certified facilitators before June 30th, 2008.
|
|
When did you take your
Flower of Life Workshop? __________________________________________
Where did
you take your Flower of Life Workshop? _________________________________________
Who was
your workshop facilitator? ______________________________________________________
|
|
Seed
of Life is now a prerequisite to be considered for our Facilitator
Training Program.
Are you taking this workshop because you would like to be considered
as a future facilitator? (Please
consider that answering this question does not imply
that you will receive a final invitation to become a facilitator
in the future. Also, you may change the answer to this question
later. Please note that at present, our facilitator training
program is on hold.)
Yes _____
No _____
Comments: _________________________________________________
|
|
SECTION
3 - PAYMENT DETAILS
|
 _____
CHECK, CASH, OR MONEY ORDER.
Made
out to SEED OF LIFE INSTITUTE (not
to Flower of Life Research). Cash discount price, if paid
by June 27, 2008, is
$947 USD. With
this option, you may pay the discount price. This fee must be
enclosed with this registration form in order to secure your reservation.
(Note:
Funds must be in US Dollars only. If paying
by check, the check must be drawn on an American bank. If you
are sending your check by post near the deadline of June 27th,
please send by courier such as Fed Ex to insure that it arrives
before the deadline. We are not responsible for delayed registrations
sent by mail. If they do not arrive on time, you may lose your
reservation.)
Important
Note: For registrations
after June 27, 2008, you would have to pay the full price of $994
USD. |
|
OR
|
| _____
CREDIT CARD PAYMENT. Please
fill in your information below. Full Price is
$994 USD. For credit card
payments, you must pay full price. No discounts are offered.
The deadline for general registrations and credit card payments
is July 4, 2008. |
|
Type
of Card - Please
be sure to mark your credit card type correctly to avoid confusion.
Thanks!
| Visa:
____ |
Master
Card: ____ |
American
Express: ____ |
Discover:
____ |
Name
as on Credit Card:
_________________________________________________________
This
should be the name of the credit card holder, in case the card
is not yours.
Card
Number: __________________________________________
Security Digits:(__________)**
**
On the back of your card, you will see 3 or 4 numbers floating
alone near the signature line. We need this security code to
process your card. Thank you!
Expiration
Date: ___________________
Signature: ___________________________________
Important
Note: If
your credit card originates from
South America, please call your bank and provide an AUTHORIZATION
CODE for this amount to be charged by Flower of Life
Research. Please note that if you do not provide your authorization
code and it is required, your payment cannot be processed.
My
authorization code is:
__________________.
|
| REFUNDS
- Until
June 30th, 2008,
refunds are available except for a $100 administration fee. After
June 30th, 2008,
we regret that no refunds are available unless you can secure
another student to take your place. (By that time the funds will
already be transferred to Mexico on your behalf and they are nonrefundable.) |
|
SECTION
4 - PERSONAL INFORMATION
|
| In order to serve
you more efficiently during the Seed
of Life Workshop, please provide us with the following
information. Thank you for your kind cooperation! |
|
1)
Do you have a nickname? What do you like to be called?
__________________________________
2)
Your gender
(sometimes we get confused with names!):
Male:
_____ Female: _____
3)
Your Passport Number and country of origin:
___________________________________________
4)
Emergency contact information. Who should we contact in case
there is an emergency?
Name:
___________________________________________ Relationship: ________________________
City
& Country of Residence: _____________________________________________________________
Contact Information. (Please
include telephone country codes and area codes):
_____________________________________________________________________________________
5)
We will be preparing a group directory so participants can connect
with each other when the workshop is over.
Is there any special information you would
like to be included, in addition to the contact information
you have already provided?
______________________________________________________________________________________
______________________________________________________________________________________
6)
When is your birthday?
____________________________
Please
include the year ( to match you with a roommate if needed.)
7) In order to offer you the best
roommate option (if needed), please help us by providing the
following information:
Do
you smoke? (Yes/No):
__________.
Smoking
is not allowed in the dormitories. But we prefer to have this
information at hand in order to match roommates in the best
way possible.
Do you snore? (Yes/No):
_________.
Would you share
the room with someone that snores? (Yes/No):
_________.
Would you share
a room with non-English speaking participants? (Yes/No):
_________.
Sometimes
participants really wish to have roommates who speak other language(s)
or it could happen that there are not enough participants who
speak the same language to match them in the same room.
8) If you need any kind of special
attention, please let us know
(i.e.:
if you are a vegan or if there is some specific food you cannot
eat; if you have any physical handicaps or challenges that we
should know about in order to serve you better.)
______________________________________________________________________________________
___________________________________________________________________________
|
|
SECTION
5 - LODGING INFORMATION
|
|
1)
Lodging
in Transit in Mexico City. The
Useful Guide document suggests options for rooming in transit
in Mexico City. Please read that document before filling out
the information, below.
Where
do you plan to stay during your transit in Mexico City? Please
mark your option below and provide the required contact information.
If you don't have this information yet, please send us an e-mail
later. Thanks!
Local
Hotel : _____ Your
hotel name and contact phone number:
____________________________________________________________________________
Private
Home : _____ Name
of your friend/relative (optional) and phone number:
____________________________________________________________________________
|
2)
Lodging
in Tonalli Retreat Center. Please
provide your roommate(s) information below:
I will share the room with my spouse/partner. His/her name:
___________________________________
I will share the room with friend(s). Name(s):
_____________________________________________________________________________________
I don't have friend(s) to share the room with. Please find a roommate
for me: ________.
|
|
SEND
THIS FORM WITH YOUR PAYMENT TO:
|
Payment should be made to SEED OF LIFE INSTITUTE, c/o:
Flower of Life Research
- P.O. Box 55844 - Phoenix, Arizona 85078 - USA
Tel/Fax (for this event only): 602-404-1456 - Email: merkaba@floweroflife.org
To Send by Courier (FedEx, DHL, Airborne or UPS):
Please contact us by email for the courier address
Couriers will not deliver to
the Flower of Life PO Box. Thank you!
If
you are American, you may use the Express Mail service from
the US Post Office,
which is guaranteed and can be delivered to PO Boxes.
|
| Note:
We recommend that you do not send your credit card information
by email. If you choose to do so, we cannot take responsibility
for lost emails or breach of credit card security. We recommend
that you send the credit card information by fax, instead. |
|
