Registration Form

Movements Retreat 2012 - Corfu, Greece

	New Participant
	Participant
First Name & Last Name
Address
Phone
Mobile
E-Mail
ACCOMMODATION:
	Dorm in the Buddha Hall : 500 Euro (10 nights)
	Your own tent : 500 Euro (10 nights)
	Furnished tent, shared double : 530 Euro (10 nights)
With
	Furnished tent, single occupancy : 580 Euro (10 nights)
	Shared double room with ensuite bathroom: 580 Euro (10 nights)
With
	Single room with ensuite : 680 Euro (10 nights)
	Hotel by the beach: various prices
	No accommodation : 400 Euro (10 nights)
RETREAT FEE:	The deposit fee of $ 200 is paid:
	In a money order or bank draft to Amy Silver, payable to Movements Retreat Please contact Amy Silver Phone: 001-304-7246644 e-mail:claymontgathering@hotmail.com
	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
	Payments in Europe: Please contact Avabhasa Boess Phone: +49(0)40-7905906 e-mail: avabhasa@web.de

	Please ensure that bank transfer fees are covered. Your registration is confirmed upon receipt of the seminar deposit. The balance is due upon arrival, in US Dollars.
	Declaration: Hereby I commit to participate in the Movements Retreat from June 16 - June 26, 2012. I acknowledge the conditions of participation and assure that I am able to be responsible for myself during the time of the Seminar.