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Circles of Life- Workshop and Retreat 2009 - Registration **Please use Internet Explorer as your browser if you cannot complete this form.
Name Street Address Address (cont.) City State/Province Zip/Postal Code Country Business PhoneHome Phone Cell PhoneE-mail Web Site WORKSHOP REGISTRATION:Saturday Only: Lunch & 3 Workshops Member: $90 Non-member: $95Note: Saturday Only: If you would like to stay for Saturday dinner and evening festivities, there will be an additional cost of $10.00Saturday Only: Lunch, Dinner, 3 Workshops and Evening Festivities Member: $100 Non-member: $105Weekend (June 26-28, 2009) Member: $185 Non-member: $215 Become a Member and Register (Becoming a member of the Holistic Mentorship Network at time of registration for this workshop offers both the workshop and the Annual Membership at a discounted rate; Membership 20% discount) Professional $265 (Registration $185 plus 20% Membership discount $80 = $265) Student and Community Member $225 (Registration $185 plus 20% Membership discount $40 = $225) Meals: No restrictions (want a simple and healthy meal) Vegetarian Vegetarian - Eggs included Vegetarian - Fish included Vegetarian - Dairy included Vegan Food Allergies: (Please type in or call in) PROGRAM SELECTIONS: Please, choose one workshop from each set: Workshop 1: "Our Relationship with Nature" led by Susan Brody "Witnessing Inner Wisdom" - from Human doing to a a human being with Yogic meditation" led by Anelyn & Stephen Tortorello "Transforming Into You: Reconnecting to your Divine Self" led by Denise SaraccoWorkshop 2: "The Mandala and You" led by Elizabeth Olney "Manifesting Your Reality through Visualization" led by Vivian Sartoretto "Feng Shui - Living Your Life in Ultimate Simplicity" led by Deanna Trust*Workshop Deposit: $50*Full Payment by June 12, 2009*Method of payment:Check, Visa or Master CardFor further information Contact:Vivian Sartoretto: 973-426-9208To Register for Workshops by phone Contact:Office: 973-300-1184 Fax: 973-300-1189 For Accommodations at Koinonia:Koinonia: 800-980-2267www.koinoniany.org Accommodation Registration Prices: (Prices include accommodations of 2 nights & 6 inclusive healthy community meals; bag lunch to go on Sunday)Conference Center:Single Room: $188Double Room: $144/PersonTriple Room: $118/PersonLakeside: Capacity 7-12: $75/PersonAccommodation Deposit: $50 to secure space Full Payment at time of arrival for Circles of Life 2009 Retreat
WORKSHOP REGISTRATION:Saturday Only: Lunch & 3 Workshops Member: $90 Non-member: $95
Note: Saturday Only: If you would like to stay for Saturday dinner and evening festivities, there will be an additional cost of $10.00
Saturday Only: Lunch, Dinner, 3 Workshops and Evening Festivities Member: $100 Non-member: $105Weekend (June 26-28, 2009) Member: $185
Non-member: $215
Become a Member and Register (Becoming a member of the Holistic Mentorship Network at time of registration for this workshop offers both the workshop and the Annual Membership at a discounted rate; Membership 20% discount)
Professional $265 (Registration $185 plus 20% Membership discount $80 = $265)
Student and Community Member $225 (Registration $185 plus 20% Membership discount $40 = $225)
Meals:
No restrictions (want a simple and healthy meal)
Vegetarian
Vegetarian - Eggs included
Vegetarian - Fish included
Vegetarian - Dairy included
Vegan
Food Allergies: (Please type in or call in)
PROGRAM SELECTIONS:
Please, choose one workshop from each set:
Workshop 1:
"Our Relationship with Nature" led by Susan Brody
"Witnessing Inner Wisdom" - from Human doing to a a human being with Yogic meditation" led by Anelyn & Stephen Tortorello
"Transforming Into You: Reconnecting to your Divine Self" led by Denise Saracco
Workshop 2:
"The Mandala and You" led by Elizabeth Olney
"Manifesting Your Reality through Visualization" led by Vivian Sartoretto
"Feng Shui - Living Your Life in Ultimate Simplicity" led by Deanna Trust
*Workshop Deposit: $50*Full Payment by June 12, 2009
*Method of payment:
Check, Visa or Master Card
For further information Contact:Vivian Sartoretto: 973-426-9208To Register for Workshops by phone Contact:Office: 973-300-1184 Fax: 973-300-1189
For Accommodations at Koinonia:Koinonia: 800-980-2267www.koinoniany.org
Accommodation Registration Prices:
Conference Center:Single Room: $188Double Room: $144/Person
Triple Room: $118/Person
Lakeside: Capacity 7-12: $75/Person
Accommodation Deposit: $50 to secure space Full Payment at time of arrival for Circles of Life 2009 Retreat
Make your payment after submitting application!
