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Application & Questionnaire, Rishikesh Pilgrimage 2008

Rishikesh Retreat Fall 2008 Basic Iinformation


Please e-mail daya@anandaindia.org your answers to the questions below. Complete a separate application for each family member (address and phone numbers need not be duplicated)


My full name:

Name I am usually called by:                                             

___Male  ___ Female


My address:


City and pin code:

Mobile phone:                        

                            Landline:

E-mail:

Birth date and year:


___I am an Indian citizen.    

Nationality, if non-Indian: 



Please reserve for me (choose one only):

____ Single occupancy (private room): Rs. 7,900, including round-trip train ticket.

____ Single occupancy (private room): Rs. 6,800, without train ticket.

____ Double occupancy: Rs. 5,400 per person, including round-trip train ticket.

____ Double occupancy: Rs. 4,300 per person, without train ticket.  

I wish to share a room with: ____________________________

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. If you snore, we ask you to room with someone you know well, or pay for single occupancy.

Are you a Kriyaban of the path of Kriya Yoga? _____

Are you currently practising:  ___Hong-Sau technique? ____ Energisation Exercises?
                                           ___Other meditation?  What kind?

Do you have any medical condition which could limit your participation on this pilgrimage?
If so, what?

Application and Rs. 5,000 1st payment are due by 10 September, mailed to Keshava Taylor, Ananda Sangha, B–10/8, DLF Phase I, Gurgaon (HR) 122 002. Cheques are made payable to "Ananda Sangha". Cash payments can be made in person to Sangeeta Prashar (98992 67698) at Ananda Sangha offices in Gurgaon.

Your participation is confirmed only after we receive and approve your written application, along with a 1st payment by cash, cheque, or demand draft.

Joy to you!

Keshava

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            Ananda Sangha India
            B–10/8, DLF Phase I
            Gurgaon (Haryana), India 122 002

            Directions

Phone: 98990 14209; 98992 67698; (0124) 405-9550
Fax: (0124) 410-3386
E-mail: ananda@anandaindia.org

©2008 Ananda Sangha