Registration Form

Movements Retreat 2010 - Corfu

New Participant
Old Participant
First Name & Last Name
Address
Phone
Fax
E-Mail

ACCOMODATION:

 

Single Room: € 610 (10 nights)
Double Room: € 560 (10 nights)
With
Onsite with your own tent or in Movements Hall:
€ 450 (10 nights)
RETREAT FEE: The deposit fee of 200 US / 150 € is paid:
 
In a money order or bank draft to Amy Silver,
payable to Movements Retreat
By Wire Transfer to:
Movements Retreat
P.O. Box 285
Charles Town, WV 25414, USA
Bank of Charles Town
111E. Washington St
Charles Town, WV 25414, USA
Routing Number: 057001418
Account Nr: 7500391

By Bank Transfer to:
Ulrike Boess
Hamburger Sparkasse - Germany
IBAN: DE26 2005 0550 1139 774978
BIC: HASPDEHHXXX

 
  Please ensure that bank transfer fees are covered. Your registration is confirmed upon receipt of the seminar deposit. The remaining 340 US (in US Dollars) is due upon arrival.
Declaration: Hereby I commit to participate in the Movements Retreat from June 12 - June 22, 2010.

I acknowledge the conditions of participation and assure that I am able to be responsible for myself during the time of the Seminar.