Eternal India Tours
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Eternal India Tours:
Registration

Currently registering: Essence of Yoga Tour 2010

Thank you for your interest. After completing this form, you will be sent to a payment page.

To reserve a place on the tour, please pay a nonrefundable deposit of $500 US by January 26, 2010.

To make full payment please pay $1995 US per person by Feb 10, 2010.

(We strongly recommend reserving your place on the tour with a deposit as space is limited.)

If you prefer to register by mail, please download the registration and release form.

Please read the

Please note that all fields followed by an asterisk must be filled in.
First Name*
Last Name*
E-mail Address*
Street Address*
City*
State/Prov*
Zip/Postal Code*
Country*
Home Phone*
Business Phone
Nationality:*
Your age:*
Gender*
Male
Female
Passport No.:*
Place of issue:*
Date of Issue:*
Expiry date:*
India Visa No. (if you have one)
Place of issue:
Date of Issue:
Expiry Date:
Emergency contact:*
Relationship:*
Emergency Tel #1:*
Emergency Tel #2:*
Emergency email:*
Do you have any medical conditions or physical/mental health issues at this time?*
Yes
No
If yes, please explain:
Is this your first trip to India?
Yes
No
How did you hear about the 2010 Essence of Yoga Tour?

Please enter the word that you see below.

  

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