The Inner Way Reg Form June 2011

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    Program Details

    For Registration Inquiries: Ms. Shilpa Jain - 098205 29183

    [email protected]

    Venue: Isha Yoga Center,

    Velliangiri Foothills, Coimbatore, India.

    Date: 11th

    - 15th

    June 2011

    Program Schedule: Participants are requested to arrive on Saturday,

    11th

    June 2011 by 4:00 pm at the latest. The program ends late

    night on Wednesday, 15thJune 2011.All participants are required

    to stay at the Yoga Center on 15th

    night. Please plan your

    departure from the morning of Thursday, 16th

    June 2011.

    Things to bring: Comfortable clothing for yoga practices, walking/

    trekking shoes, umbrella/rain gear & flash light. Warm clothing as per

    seasonal requirements.

    For general program-related inquiries (excluding registration

    or confirmation), please contact:

    India:

    Mr. Kumar Govind, 099449 31964

    USA & Canada:

    Ms. Ramya Rajaram, +1 609 903 [email protected]

    UK / Europe:Ms. Shaivali Shah, +44 786 171 6662

    [email protected]

    Singapore, Australia & Malaysia:Mr. Raj Vuppu, +65 9011 0654

    [email protected]

    Lebanon / Middle East & Africa:Ms. Noha Hazim, +961-3-7168 6700

    [email protected]

    THE

    inner way

    (after 7:00 pm)

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    First Name: ................................ Last Name: ....................................

    Date of Birth: ........................ Age: ......... Gender: M / F (Please circle)

    Residential Address: ........................................................................................

    ...........................................................................................................................

    City: ...................................................... State: ................................................

    PIN: .............................................. Country: ..................................................

    Phone (Home): ......................................... Mobile:

    Email: ................................................................................................

    Company Name and Address: ........................................................................

    ...........................................................................................................................

    Designation: ......................................................................................

    City: ...................................................... State: ................................................

    PIN: .............................................. Country: ...................................................

    Phone (Office): .............................................. Fax: ..........

    If you are attending the program with your spouse,

    please provide his/her name: .....................................

    Registration FormPlease use capital letters

    (Please fill out a separate registration form for spouse.)

    THE

    inner way

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    Introduced by: ................................................................................

    Please check the Isha Yoga Programs attended so far:

    Isha Yoga Inner Engineering Bhava Spandana

    Arrival at Isha Yoga Center :

    Date: ........................................ Time: ..............................................

    Departure from Isha Yoga Center :

    Date: ........................................ Time: ..............................................

    Do you have any physical or mental ailments? If so, please specify

    ...........................................................................................................................

    ...........................................................................................................................

    Please read terms and conditions on the last page.

    The program ends late night on 15th June 2011. All participants are

    required to stay at the Yoga Center on 15th night. Please plan your

    departure from the morning of Thursday, 16th

    June 2011.

    Travel times to/from the Isha Yoga Center:

    Please indicate your anticipated time of arrival at/departure from the Isha

    Yoga Center (and not the time of train or flight arrival at/departure fromCoimbatore). When giving your arrival and departure time at the Center,

    please take into account that travel from Coimbatore Railway Station or

    Airport to the Isha Yoga Center could take 1 - 1.5 hours by taxi.

    Travel & Stay Information:

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    Accommodation options:

    Please confirm accommodation availability by contacting the registration

    coordinator before sending your payment.

    Accommodation option include:

    Super Deluxe Room

    Deluxe Room

    Executive Room

    A/C Standard Room

    Non A/C Standard Room

    For registration details, please contact:

    Ms. Shilpa Jain

    Mobile: +91-98205 29183

    Email: [email protected]

    please mail your completed registration form to:

    Ms. Shilpa Jain

    Inner Way Registration

    401 Jamnagar Bldg, Gulmohur Cross Road No. 11,

    Juhu Scheme, Mumbai 400 049

    Mobile: +91-98205 29183

    - All rooms are for single occupancy & subject to availability -

    Please note, registrations will be accepted at this mailing address on a

    first-come, first-served basis.

    Date : Signature :

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    TERMS AND CONDITIONS

    1. A confirmation letter will be sent to you by email or post once your

    application has been approved. Please allow up to 10 days upon receiptof your application. Please make final travel plans only after receiving

    the confirmation letter.

    2. Rooms are allocated on a first-come, first-served basis. Since demand

    for this program is high & accommodation limited, we are unable to

    guarantee your room preference.