Please copy this form and send it to us via E-mail to info@thepowerofrelationship.com

Name:
Address: 
Mobile/Cell Phone:
Email:
Y/N Please let us know if you are happy to receive future emails from us informing you of similar events. We will never share your details with anyone else
Y/N Are you happy for us to share your first name and email with other participants to enable you to self-organise travel arrangements?
TRAVEL:Arrival and Departure: Please let us know when and how you will be arriving and leaving so that we can try to coordinate with other attendees (please let us know flight times and numbers if you have them)
Would you like to arrive before 24th or leave after 28th of September? If you would like to stay extra nights for an additional cost, please let us know
DIETARY NEEDS:Vegetarian, restrictions and needs
Anything else we should be aware of:Medical or other circumstance?
DEPOSIT:Please pay a deposit of €200 via www.paypal.com to adelheid@integralvoice.de by clicking on the Send Money link (you don’t need an account). Please add your name and Autumn Retreat 2014 as the reference in the optional email. 

Please confirm this has been paid

 

Should you need to cancel your booking, we will make every effort to apply this deposit to a future retreat. Please do speak to us if this is an issue.

 

We look forward to getting to know you.

 

Please return this form to adelheid@integralvoice.de