RESERVATIONS AND RELEASE
Download RESERVATIONS AND RELEASE in printable version (pdf)
TOUR PRICE: $6599* (credit card) or $6459* (cash, cashier’s check, bank drafts, or money order payments) per participant, including airfare and accommodations.
Group airfare reservations for the 2009 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 2009 India Sacred Retreat Tour (the “Tour”) must be received by the dates indicated below:
Registration and Non-Refundable Deposit Due: May 1, 2009
Payment in Full Due: June 15, 2009
A $500.00 non-refundable deposit per person will secure space. The balance is due June 15, 2009. 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 are strongly encouraged to purchase 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 2009 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): _________________________
Group Orientation meeting date (see Terms & Conditions for more information on the Group Orientation meeting) for the 2009 India Sacred Retreat Tour is: SATURDAY, June 20, 2009 at 10am at 4848 N. Lydell Ave., Glendale, Wisconsin. Please check one of the following:
____I will attend the meeting
____
I will not be able to attend the meeting, and I understand that I am responsible for reading and
understanding all group orientation summary information. Please send me the group orientation summary notes (pdf document) to my e-mail address:
________________________________________________________
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 ____ nonrefundable deposit for the 2009 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 or Mastercard: In the amount of: $____________________, as (check one) ____ payment in full ____ nonrefundable deposit for the 2009 India Sacred Retreat Tour. My credit card number is:
________________________________________________________ Expiration: ________________
Credit Card 3-digit security code (on back of card): ________________
Registrations will not be processed until deposit is received.
We accept the following credit cards:
Complete, sign and return this entire Reservations and Release form (download printable version) with your payment to: 2009 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.
