EmailMe Form - ECSTATIC REMEMBRANCE

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.

TRAINING, LODGING AND MEALS PACK

MODULE

ECSTATIC REMEMBRANCE
SEP 30 - OCT 5 , 2019.

Please choose your preferences of
OCCUPANCY

Shared room (double) $1,750 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 availablity 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.

By PAYPAL

to
5elementsadventurecenter@gmail.com
or http://www.paypal.me/fiveelementsadventur
our USA Paypal account

PLEASE BE SURE TO CHOOSE USD CURRENCY FOR YOUR PAYMENT (NO Mexican Pesos will be received from Paypal payments)

(Consider a $25 USD fee for financial costs to pay with the balance)

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

REGISTRATION DEADLINE
September 16., 2019. 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 Mexico City or Toluca City

Bus

EXTRA SERVICES

ADDITIONAL HOTEL NIGHTS

Meals included

Single Sep 28th, 2019 rate $95 usd (Dinner and Breakfast)

Single Sep 29th, 2019 rate $95 usd (Dinner and Breakfast)

Single Oct 5th, 2019 rate $95 usd (Lunch and Dinner)

If you need extra nights in San Miguel Regla Hotel or recommendation about hotels in Mexico City please let us know, we will happy to help you.

TRANSPORTATION

Ride from and to
CDMX - HOTEL - CDMX

LEAVING
Monday Sep 30th. 6:30 a.m.
RETURN
Saturday Oct 5th. 1:30 p.m.

Exclusive Meeting Point:
CIBELES FOUNTAIN
Roma Norte area
Mexico City

Transportation Mexico City - Hotel

Transportation Hotel - Mexico City

Please ask for the price of this service by email

Important: this transportation service will be available only in the established dates and schedules.

If you need a transportation service from the airport to the Hotel please ask for different options service.

1 / 2