Accompanied by (detail legal name and ages)
1 ...................................... 2
............................................
3 ...................................... 4
............................................
Registration Prices in Argentine Pesos ($ 1 = u$s 1 dólar).
Adult (from 17):
$ 135,00 if paid before Oct. 11th for .......... person/s sub-total $
.............
$ 150,00 if paid before Nov. 11th for .......... person/s sub-total $
.............
More than 12 years old:
$ 40,00 any time for .......... children/s sub-total $ .............
Under 12 years old: Free.
Total Registrations $ .............
Transportation
Transfer from Airport, City of Cordoba to hotels at Mina Clavero (150km/2h 30´)
Only during arrivals days 10th and 11th Nov. and departures days 20th and 21st Nov.
One way: $10 for ........ person/s sub-total ........
Round: $20 for ........ person/s sub-total ........
Total Transfer $ .................
Lunch: Catering served at Subud Centre for lunch only between Nov. 11th and 20th.
Each lunch: $ 8.00,
for .......... days, for ........... person/s sub-total $
.................
Children under 12 : $ 4.00, for .......... days, for ........... person/s
sub-total $ .................
Children under 3, Free.
Total Lunch: $ .................
Dinners: Attendants may have dinner at town which offers great variety of restaurants.
Subtotal: $ .................
Charges for Bank Transfer $ 5 : $ .................
If paid whith credit card add 4% : $ .................
Total Payment: $ .................
CREDTI CARD: This payment option will be done through ISC. Fill this form:
I will pay with: VISA ........ ó MASTERCARD .......... for the total amount US$: ................
(this should include the 4% for bank charges)
Card number: .............................................
Exp. Date: .......................
Name as appear on Card
................................................................................
Billing address:
................................................................................
Signature:
IMPORTANT:
In case you pay with credit card fax a copy of this form to ISC: +62 361 463667 ,
and to Mina Clavero: +54 3544
472091.
HOTEL RESERVATIONS
Once registration payment has been done
Hotel payment must be payd in full on the day of arrival
Option 1: Breakfast, bath and shower, heating, air conditioning,
phone and T.V.
Single room ($34 per person) Nº Nights: ........... = $ ............
Double room ($17 per person) Nº Nights: ........... = $ ............
Smoker: No / Yes
Extra bed ($17 per person) Nº Nights: ........... = $
............ Smoker: No / Yes
Option 2: Breakfast, bath and shower, heating, kitchen and pool,
Apartments ($15 per person) NºNights: .......... x Nº Person/s (2 to 6)
........... = $ ............. Smoker: N / Y
Option 3: Breakfast, bath and shower.
Rooms ($13 per person) NºNights: .......... x Nº Person/s (2 to4) ...........
= $ ............. Smoker: N / Y
Note:
I would like to share my room with.
..................................................... Assign me a roommate N / Y
Camping:150 meters from the Subud Centre.
Services Include: Bathrooms, showers, hot water, barbecue, meters from the river.
Bring your own tent.
Prices per day per person: $ 3. Nº Person/s ........ Number of tents ............