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Reservation Form for KeralaTo be completed by each person individually and sent by email, fax, or post
Name, exactly as it appears on your passport:
Date and place of birth:
Passport number:
Date and place where your passport was issued:
Expiration date of your passport (it needs to be valid through 15 September 2010):
Address:
Telephone, fax, mobile phone, email:
Have you been to India before? If so, when and where?
Do you already practice meditation and yoga, and if yes, what kind?
Please indicate the appropriate items:
_____Retreat from 30 January - 11 February 2010 _____Extended stay until _____________
_____I wish to participate also in the Pilgrimage 12 February – 6 March 2010.
_____I wish to come to Ananda Assisi and travel with the group to Kerala. _____I wish to fly with the group from Rome to Kerala.
_____Standard Cottage, double occupancy _____Standard Cottage, single occupancy
_____Garden Cottage, double occupancy _____Garden Cottage, single occupancy
_____Special Cottage, double occupancy _____Special Cottage, single occupancy
_____Kerala House, double occupancy _____Kerala House, single occupancy
I wish to share a room with: __________________________________________
Please note: If you do not have a roommate, we will try to connect you with another single pilgrim. However, we cannot guarantee finding a suitable roommate for you. If a roommate cannot be found, you will need to pay for single occupancy.
Thank you!
For further information (including travel contract policy etc), please contact Bhaktan: india@ananda.it or (0039) 339-191-1911. INFORMATION ACCORDING TO LAW 196/2003, ART. 13According to Article 13 of Law 196/2003, we are required to inform you that:
Formula for acquisition of consensus for the treatment of sensitive dataPlace ............................. Date ................................ Surname ............................................ Name ................................................................. Having read the information provided by the Association according to article 13 of law 196/2003, and being aware in particular that some of the information requested is regarded as “sensitive” data in Article 4, paragraph 1(d), and Article 26 of Law 196/2003, i.e. “information regarding: ethnic and racial origins; religious or philosophical beliefs; political opinions; affiliation to political parties, trade unions or religious, philosophical , political or trade-union organizations; personal data concerning health and sexual life,” I give my consent to use the data that are necessary for carrying out the operations above indicated. (legible) signature ....................................................................... Ananda AssociazioneAnanda Associazione is a non-profit association (affiliated with CO.N.A.C.R.E.I.S) dedicated to promoting social welfare through the practices of yoga, meditation, and Self-realization. Anyone who supports the ideals of Self-realization, world brotherhood, and physical, mental, and spiritual harmony through meditation, yoga, and service is welcome. According to Italian law Ananda’s programs and hospitality can be offered only to “association members.” All of these programs are established in the art.3 of the Statuto dell’Ananda Associazione, and in conformity with L. 383/2000 of Associazioni di Promozione Sociale. They are reserved to members of Ananda Associazione - APS (Art. 7 L.135/2001 and Art. 31 L. 383/2000) Membership is open to everyone, and easily accomplished: By-laws of Ananda Association (PDF in Italian) | |||||||||||
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For information and reservations:
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