EmailMe Form - THE POWER OF TRUST AND CONNECTION

NAME *

First Last

ADDRESS *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

PHONE *

MOBILE *

Email (primary) *

Email (secondary)

Profession *

Age *

How do you know about this Module *

Social media, Web Page, mailing list, publication or in case you have a reference by a professional, institution or particular person, please give us the name to refer our thanks personally.

Have you traveled to China or Europe or other country in the last 2 months? *

Please indicate to which cities

TRAINING AND LODGING IN
ALL INCLUSIVE PACK

VENUE
PARADISE VILLAGE
Beach Resort & Spa
Nuevo Vallarta, Nayarit.
Mexico
www.paradisevillage.com.mx

MODULE
TRUST AND CONNECTION
SEPTEMBER 14 - 19 , 2020.

Please choose your preferences of
OCCUPANCY

Shared room (double) $1,600 usd

Single room $1,900 usd

IMPORTANT

In case you request your pack in double occupancy, but your register form or Module payment were the last, the availabIlity will be conditioned to having another participant under the same circumstances to share the room with you, otherwise you have to consider that your occupancy will be in a single room and you have to cover the corresponding rate.

Each request, application and payment will be taken in strict order of receipt.

I will like to share a room with

Your preference for shared room applies immediatly, only if at the same time we receive the register or request from the other person.

If received separately, we take your desire as a first option for you, however it is subject to availability and overall arrangement of the group.

Habits and Preferences *

REGISTRATION AND PAYMENT

To confirm your registration, you have to make a reservation.
Advanced payment for $700 USD.
OR FULL PAYMENT

By
BANK OF AMERICA
NAME: YAHI ROBLES
ACCOUNT: 32 50 01 28 50 62
ROUTING: 121000358
WIRE 026009593

Balance due will be paid in cash in dollars at the moment of arrival to the Module registration.

REGISTRATION DEADLINE
August 1st., 2020. 16:00 Central Mexico's time

Reference if you make the payment before completing this form

Please send the reference or the payment copy

TRAVEL INFORMATION *

By car

Fight to Puerto Vallarta Airport (15 min to the venue)

Bus to Nuevo Vallarta station (10 min to the venue)

Puerto Valllarta Airport receive flights from
USA
CANADA
EUROPE

EXTRA SERVICES

ADDITIONAL HOTEL NIGHTS

ALL INCLUSIVE PLAN
Check in 3:00 p.m.

Single Room Sep 12, 2020 rate $110 usd

Single Room Sep 13, 2020 rate $110 usd

Single Room Sep 19, 2020 rate $110 usd

Single Room Sep 20, 2020 rate $110 usd

Double occupancy Sep 12, 2020 rate $ 75.00 usd (per person)*

Double occupancy Sep 13, 2020 rate $ 75.00 usd (per person)*

Double occupancy Sep 19, 2020 rate $ 75.00 usd (per person)*

Double occupancy Sep 20, 2020 rate $ 75.00 usd (per person)*

* In the case of the cost of a DOUBLE occupancy room, the reservation must be made simultaneously with the person to be shared.

Holotropic Mexico and the Hotel will not assign or accommodate double rooms at the request of a single participant.

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