Participant Letter Early Bird Special .pdf
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303 Sunny Acre Apartments Hely Hutchison Road
Cape Town 8005
Cell: +27 72 548 2946
Incredible India Smiling Soul Retreat 2017
Participant Enrollment Form
Package Investment per Participant for Retreat dates of 2017:
South African Rands 29950 Early Bird Special Rate valid until 31th December
South African Rands 34950 Normal Rate from 1 January 2017
Please make payment of 50% of Deposit (you are welcome to pay 100% if you
like) to secure your participation to the below banking particulars. The balance
amount is due latest one month prior to the selected Retreat start date.
We also offer the option of payment via PayPal. Amount is either in EUR or US$
($2200 for Early Bird price). Please indicate if you’d prefer this method and we’ll
send an invoice via PayPal. Default payment is via EFT to the following account:
Beneficiary Name: Brett Raymond Shuttleworth
Bank Address: ABSA Bank Newcastle, 31 Voortrekker Street, Newcastle 2940 KZN,
Bank Branch: Newcastle, KZN
Savings Account Number: 9157727794
Branch Sort Code: ZA632005
International Swift Code (for transfers outside of South Africa): ABSAZAJJ
I acknowledge you for taking this step to participate in the Incredible India Smiling Soul
Retreat once-in-a-lifetime adventure with me. Please send your completed participation
form and a proof of payment of your deposit to Rupali Mahendra who is the Smiling
Soul Retreat Coordinator and your point of contact for the run-up to the journey and as
we travel together through Incredible India.
Thank you for taking this adventure with me and I greatly look forward to meeting you in
person in India.
PARTICIPANT DETAILS AND SIGNED CONFIRMATION
Full name of Participant as appears on your passport: ___________________
Date of Birth: ______________________________
Number and validity of passport: _________________________
Contact email address: ________________________
Contact number: ________________________________
Person to get in touch with in case of an emergency while traveling through India:
Relationship to the emergency contact person: ____________________________
Which Retreat in 2017 are you attending (please circle clearly):
I - 1 to 12 March 2017
II - 7th to 18th June 2017
III - 27th September to 8th October 2017
IV - 29th November to 10th December 2017
All Retreat Packages includes:
*11 Nights accommodation on a shared basis (supplement charge for single room applicable).
*Retreat facilitation by Brett Shuttleworth
*Meals: Breakfast throughout the trip, Delhi Karim’s Dinner, all meals at International Festival in
Rishikesh which are part of the Festival package, all meals at Ganges Campsite, arrival dinner
in Goa, Entry pass for Goa nightclub, Celebration Dinner in Goa, Dinner at Bademiya eatery in
Mumbai and Retreat End Celebration lunch in Mumbai at Cafe Mondegar. (All additional meals
and all beverages not expressly included are for participant's cost).
*All Domestic Flights within India, transfers and Retreat Outings which are part of the package
(Flights: Delhi - Dehradun, Dehradun - Delhi, Delhi - Goa, Goa - Mumbai),
*Airport transfer at start and end of Retreat.
*Activities which are also included are:
• Tour of Old Delhi and walking tour of Walled City
• Early morning trip to watch the Sunrise on the Himalayas from Rishikesh
• A fully inclusive Camping and white water rafting adventure with all meals and transfers
• March Retreat: 2 Days Unlimited Pass to the International Yoga Festival in Rishikesh (other
activities will be included for June, September and November Retreats)
• Shantaram Tour in Mumbai
*Assistance at all times with flight and hotel check-ins and local assistance with on the ground
throughout the Retreat.
Note: International Travel, Insurance, Visa and any related costs for you to get to India (starting
point Delhi and end point Mumbai) are not part of the package. Kindly note that all travel is at
your own risk and we advise you to take out insurance for your whole trip. Also please ensure
that it includes activities like white water rafting as we will in no way be responsible for any part
of your trip in medical, health, or personal injury or items being lost or affected in any way. We
will however do our best to accommodate any food preferences or allergies that you may have.
Kindly inform the Smiling Soul Retreat Coordinator if you have any, once your enrollment
process is complete.
Once a deposit has been paid this is non-refundable. You can however find someone to
substitute your participation in the event that you can no longer attend. Payment of the deposit
confirms your participation; we request that full payment is made at least one month
before your 2017 Retreat dates which guarantees the rate offered.
I confirm that I have read the Retreat itinerary and details of the Retreat as well as the
applicable terms of my participation.
I greatly look forward to participating on the Incredible India Smiling Soul Retreat 2017
and my commitment is to have the best time I possibly can!
Participant Signature: ________________________________