Copy and paste this form to your email that you are sending to us at tantra@schooloftantra.com. Or print it and fill it out and mail it. Or if you have received this form in an email, you may fill in this form and return it by clicking "reply" on your email program and filling in the blanks. If more than two people are registering and you are sending by mail, copy this registration form for additional person or couple and send forms in same envelope.
Tantra Connection Parties are held every Saturday from 7-9 pm in Maui,
Hawaii from September 1st to May 31st. This event is gender
balanced. Single men and women are admitted as openings become
available. Please try to gender balance yourselves as much as
possible. Go to www.tantraconnection.com and register for free to find your tantric partner(s) or post a message at TantraConnection@yahoogroups.com.
DATE YOU WISH TO ATTEND _________________________
Number of people registering: ______
1. NAME PERSON 1: _____________________________________________________ E-MAIL
_________________________________
First
Last
TELEPHONE (____)_________________________ (____)____________________
(____)__________________________
Home
Cell
Work
ADDRESS:
_____________________________________________________________________________________________
Street
City
Zip
2. NAME PERSON 2: __________________________________________________ E-MAIL
___________________________________
First
Last
TELEPHONE (____)_________________________ (____)____________________
(____)__________________________
Home
Cell
Work
ADDRESS:
________________________________________________________________________________________________________
Street
City
Zip
Women: Registration: $____
Men: Registration:
$ ____
Couple: Registration: $ ____
Registration method - Option 1.
___ I am confirming my attendance at the Tantra Connection and will send a
check in the mail. My credit card information to hold my space is below.
If my check does not arrive on time, I prefer Option 2_____ or Option 3
_____.
Registration method - Option 2
___ E-mail
or phone in your credit card information
(CC
number, name on credit card, expiration date) There
is a 5% charge for credit card use.
Registration method - Option 3
___ The
same as in two but let us know that it is only to
guarantee your attendance and
that you will be paying by cash or check at
the door.
___ I am coming as a single man and I am not yet gender balanced. Please
put me on a waiting list and let me know if there is a single woman to gender
balance me. I will let you know if I find someone to gender balance me.
____ I want to have a private session during my visit. I wish to reserve _____ hours at $150/hour.
____ I need accommodations on campus for these DATES
_______________
Please indicate your 1st, 2nd and 3rd choice of accommodations. You will
be sent written confirmation of your reservation.
___ Tent Site ($25/night) ____ Dorm Space ($35/night) ____ Loft Room w/Futon ($50 night) ___ Loft Room w/King Bed ($65 night)
___ Private Room/Private Bath ($75 night)
I plan to arrive on DATE __________ TIME _____
PAYMENT BY: _____ CHECK / _____ VISA* / ____ -MC* / ____ MONEY ORDER
Add 5% if you pay by credit card
If your check, credit card, or money order is covering anyone other than
yourself, please say who you are paying for and give their e-mail address and
phone number.
__________________________________________________________________________________________________________________________
CREDIT CARD INFORMATION
Credit Card payments will appear on your statements as paid to “Optimum
Health”
Add 5% if you pay by credit card
Name on Credit Card (including any middle initial):
_______________________________________________________________________________
Credit Card Number: ___________________________________ Expiration date
:_____/______/
TOTAL AMOUNT PAID:
$ ________
No refunds on the day of the event or 5 days prior to the event.
TOTAL AMOUNT PAID:
$ ________
50% DEPOSIT REQUIRED FOR ACCOMMODATIONS OR PRIVATE SESSIONS.
FULL PAYMENT REQUIRED FOR EVENT.
ANY BALANCE DUE MUST BE PAID IN FULL UPON ARRIVAL.
No refunds on the day of the event or 5 days prior to the event.
CANCELLATION
FEES
90 days or more - 25% of price
60 days or more - 40% of price
31-59 days - 50% of price
6-30 days - 75% of price
Mail Registration Form, with check or money order payable, to:
World Tantra Association, 1371 Malaihi Road, Wailuku, Maui, HI 96793
(808) 244-4103
| For more information: | www.tantraconnection.com |
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