RESERVATIONS AND RELEASE

Download RESERVATIONS AND RELEASE in printable version (pdf)

TOUR PRICE: $4799* (check) or $4939* (credit card) per participant, including airfare and accommodations. Group airfare reservations for the 2007 Sacred Retreat Tour are provided by American Airlines Group & Meetings Travel. (See Tour Participant Agreement/Terms and Conditions for details).

RESERVATIONS/DEPOSITS: Payments for the 2007 India Sacred Retreat Tour (the “Tour”) must be postmarked by the dates indicated below:

Registration and Deposit Due: May 1, 2007
Payment in Full Due: June 15, 2007

A $500.00 deposit per person will secure space. The balance is due June 15, 2007. Tour space is limited, and reservations will be based upon date of participants' deposit. If registrations exceed available Tour space, priority will be given to the earliest postmark dates on deposits received.

RELEASE/RESPONSIBILITY: The Tour Organizer and its representatives will have no responsibility or liability for any delays (including delayed departures or arrivals); missed airline or other carrier connections; injury, loss, or damage to persons or property (including luggage), unless it results from the negligence or willful misconduct of the Tour Organizer or its representatives; or additional expenses resulting from changes in exchange rates, tariffs, or itinerary. By signing this Tour Participant Agreement, the participant releases the Tour Organizer and its representatives from any such responsibility or liability. The liability of common carriers, including liability for lost luggage, is generally limited by applicable law. Participants may wish to consider purchasing cancellation, luggage, and accident insurance.

The Tour Organizer reserves the right to accept or reject any Tour participant at any time without liability and without any obligation to pay a refund or any other amount whatsoever. The Tour Organizer will have no responsibility or liability for any participant who leaves the Tour prior to its conclusion or for any activity undertaken by any participant which is not included on the Tour itinerary.

I/we have read and understand the Tour Participant Agreement/Terms and Conditions for the 2007 India Sacred Retreat Tour and, by making my/our advance payment as set forth below, agree to the terms thereof.

Please reserve my/our space.


_____________________________________________________________________ ..........______________________
Signature ................................................................................................. ..Date


_____________________________________________________________________ ..........______________________
Signature ................................................................................................. ...Date

Please Print:

Name: ___________________________________________________________________ ..Circle One: ..Male... Female
(as it appears on passport)


Passport Number: __________________________ Expiration Date: ______________ Nationality: ______________


Name: ___________________________________________________________________ ..Circle One: ..Male... Female
(as it appears on passport)


Passport Number: __________________________ Expiration Date: ______________ Nationality: ______________


Address: _________________________________________ _________________________________________________


City/State/Zip: ___________________________________ __________________________________________________


Country: ___________________________________ ________________________________________________ _______


Telephone: Day ( ______)__________________ _____ Evening ( ______)___________________________________


Email: ____________________________________ _____ __ Fax: ( ______)___________________________________

Emergency Contact Name: __________________________________________ Relationship: ___________________


Emergency Contact’s Phone #1: ________________________________ Phone#2: ___________________________


Emergency Contact Address: _________________________________________________________________________


Emergency Contact E-mail: _______________________________________________

Do you have any medical conditions or physical/mental health issues at this time? __ yes __ no
If yes, please explain:

_______________________________________________________________________________________________________

________________________________________________________________________________________

Additional airline courtesy information:

Name: _________________________________________ American Airlines Frequent Flyer # ________________________


Special Meal Request: _______________________________ Seat Request (if available): _________________________

Name: _________________________________________ American Airlines Frequent Flyer # ________________________


Special Meal Request: _______________________________ Seat Request (if available): _________________________

Please select ONE date to attend a Group Orientation meeting (see Terms & Conditions for more information on the Group Orientation meeting) for the 2007 India Sacred Retreat Tour:

___ Friday, June 8, 2007 – 7-9 pm ............... ___ Saturday, June 23 – 10am-12pm

PLEASE SELECT ONE OF THE FOLLOWING PAYMENT OPTIONS:

A) Enclosed is a cashier’s check, certified check, or money order (U.S. funds only):
In the amount of $ , as (check one) ‫ payment in full ‫ deposit for the 2007 India Sacred Retreat Tour. NOTE: Check or money order should be made payable to VITALITY MATTERS, LLC.

B) I wish to charge my credit card: (circle one:) VISA, Mastercard, Discover, AMEX:
In the amount of: $____________________, as (check one) ‫ payment in full ‫ deposit for the 2007 India Sacred
Retreat Tour. NOTE: If you are paying by credit card, you will need to go to www.paypal.com and register (if you are not already registered there) to send money. Please send your payment to pr@raganiworld.com upon mailing this completed registration form. Registrations will not be processed until deposit is received.
Date credit card payment was submitted to paypal.com: ________________________

We accept the following credit cards:

Complete, sign and return this entire Reservation and Release form (download printable version) with your payment to: 2007 India Sacred Retreat Tour, c/o Vitality Matters, LLC, 4848 N. Lydell Ave. #226, Glendale, WI 53217, Attn: Ragani. A copy of this Agreement will be returned to you upon acceptance, acknowledging receipt of your payment.

Your answers to the following questions will help us to know a little about you.

Is this your first trip to India? ‫ yes ‫ no

Have you participated in the Kirtan with Ragani first Friday event? ‫ yes ‫ no

* See Tour Participant Agreement/Terms and Conditions for Tour price inclusions and exclusions.