TASMANIAN HEART VIBRATION SEMINAR RETREAT
10-13 SEPTEMBER 2008

PLEASE SEND THE COMPLETED BOOKING FORM AND DEPOSIT or FULL PAYMENT TO:

ANGEL WINGS HEALING PTY LTD
20 GRANDVIEW RD
BOX HILL SOUTH VIC 3128 

Title:............................................................
Surname:....................................................
Given Names:.............................................
Address:......................................................
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Telephone - Home:.........................................
Mobile :..........................................................
Email:............................................................

Meals:
Do you have any special dietary requirements or food allergies?
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Car Pooling:
Are you interested in car pooling either your personal car or hire car with other Retreat Participants?
........YES .........NO

Medical Conditions:
Do you have any medical, mental or physical condition that may limit your participation in the Heart Vibration Seminar Retreat?   ……YES ………NO
* Please note due to the meditative states enjoyed as part of the Seminar Retreat it is not suitable for those with Grand Mal epilepsy or psychotic illness. ..........................................................................................
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Emergency Contact Details:
Name: ...........................................................
Relationship: ..................................................
Telephone - Home: ........................................
Business: .......................................................
Mobile : .........................................................

How did you find out about this Retreat? Please tick.
........ Website ........Google Search ........Email

........Living Now ........Word of Mouth ........Other

ACCOMMODATION

Accommodation / Dinner / Bar costs are SEPARATE to the Seminar and are to be paid direct to Lemonthyme Lodge at the conclusion of your stay.

·         All Accommodation Types include a full hot and cold Buffet Breakfast.

·         Accommodation will be required for minimum 3 nights - 10, 11 & 12 ^th September. The Seminar will commence with Lunch in the Main Lodge on 10th September at 1.00pm and the formal training will commence at 2.00pm. The formal part of the Seminar will conclude at lunchtime on 13^th September. For full enjoyment of Lemonthyme Lodge and surrounds, it is highly recommended that you stay overnight for at least the 13^th as well.

Option 1:  2 Bedroom Cabin, 4 share, single beds -   $70 p.p /night ($280/cabin/night)

Option 2:  Treetop Cabin – ideal for couples - $95 p.p. /night    ($190/cabin/night)

-           rollaway bed for accompanying child, extra $25 / night

Option 3 :  Main Lodge, twin-share, shared facilities - $60 p.p. /night ($120/room/night)

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* Please note: As far as possible we will endeavour to provide your desired accommodation type, but only a limited number of each accommodation type have been reserved for us, so the sooner you place your booking, the more likely you are to have the accommodation you want.

PREFERRED ACCOMMODATION OPTION:……………………………..

ARRIVAL DATE:……………………………DEPARTURE DATE:……………………………..

ANY NON-SEMINAR ATTENDEES ACCOMPANYING?    ……YES   ….NO

If YES, please provide name and address details of each person and if that person is a child.

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SEMINAR ONLY PAYMENT IS ENCLOSED:

- includes 4 x ½ day Seminar Program, Comprehensive Manual, Certificate of Attendance, Morning Tea or Afternoon Tea, as well as Lunch each day

___ $100 DEPOSIT - Balance payable before 8 AUGUST 2008


___ $399 EARLY BIRD RATE - FULL payment by 22 JUNE 2008


___ $450 NORMAL RATE - Full payment before 8 AUGUST 2008


I WISH TO PAY BY:


______ Cash _______Cheque (payable to Angel Wings Healing P/L)


Credit Card : ____VISA or ____ MASTERCARD
Credit Card # .......................................................................
Expiry Date: ............../..............   CVV (last 3 digits on back of card)…………..
Name on Card: ......................................................
Signed: ..........................................................


I agree that I have read and understood the Angel Wings Healing Pty Ltd Booking Terms and Conditions.
Signature: ................................
Date: ......................................


A receipt and written information about the Seminar Retreat and a map of its location will be forwarded to you once your payment has been cleared.

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