TANTRA CONNECTION
REGISTRATION FORM 

Copy and paste this form to your email that you are sending to us at tantra@schooloftantra.com.  Or print it and fill it out and mail it.  Or if you have received this form in an email, you may fill in this form and return it by clicking "reply" on your email program and filling in the blanks.  If more than two people are registering and you are sending by mail, copy this registration form for additional person or couple and send forms in same envelope.    

Tantra Connection Parties are held every Saturday from 7-9 pm in Maui, Hawaii from September 1st to May 31st.   This event is gender balanced.  Single men and women are admitted as openings become available.  Please try to gender balance yourselves as much as possible.  Go to www.tantraconnection.com and register for free to find your tantric partner(s) or post a message at TantraConnection@yahoogroups.com.

DATE YOU WISH TO ATTEND _________________________

Number of people registering: ______  


1. NAME PERSON 1: _____________________________________________________ E-MAIL _________________________________
                    First                                             Last
TELEPHONE (____)_________________________ (____)____________________ (____)__________________________
                                Home                                                     Cell                                             Work
ADDRESS: _____________________________________________________________________________________________
                        Street                                                     City                                                             Zip
2. NAME PERSON 2: __________________________________________________ E-MAIL ___________________________________
                     First                                             Last
TELEPHONE (____)_________________________ (____)____________________ (____)__________________________
                                Home                                                     Cell                                             Work
ADDRESS: ________________________________________________________________________________________________________
                        Street                                                     City                                                             Zip
 
Women:    Registration:  $____            Men: Registration:  $ ____             Couple: Registration:  $ ____

Registration method - Option 1.
___ I am confirming my attendance at the Tantra Connection and will send a check in the mail.  My credit card information to hold my space is below.
If my check does not arrive on time, I prefer Option 2_____  or Option 3 _____.

Registration method - Option 2

___  E-mail or phone in your credit card information  (CC number, name on credit card, expiration date) There is a 5% charge for credit card use.

Registration method - Option 3
 ___ The same as in two but let us know that it is only to guarantee your attendance and that you will be paying by cash or check at the door.

___  I am coming as a single man and I am not yet gender balanced. Please put me on a waiting list and let me know if there is a single woman to gender balance me.  I will let you know if I find someone to gender balance me.

____  I want to have a private session during my visit.  I wish to reserve _____ hours at $150/hour.  

____  I need accommodations on campus for these DATES _______________    

Please indicate your 1st, 2nd and 3rd choice of accommodations.  You will be sent written confirmation of your reservation.

___ Tent Site ($25/night)   ____ Dorm Space ($35/night)  ____ Loft Room w/Futon ($50 night)  ___  Loft Room w/King Bed ($65 night)  

___ Private Room/Private Bath ($75 night)    

I plan to arrive on DATE __________   TIME _____



PAYMENT BY: _____ CHECK / _____ VISA* / ____ -MC* / ____ MONEY ORDER
Add 5% if you pay by credit card

If your check, credit card, or money order is covering anyone other than yourself, please say who you are paying for and give their e-mail address and phone number.

 __________________________________________________________________________________________________________________________

CREDIT CARD INFORMATION
Credit Card payments will appear on your statements as paid to “Optimum Health”
Add 5% if you pay by credit card


Name on Credit Card (including any middle initial): _______________________________________________________________________________

Credit Card Number: ___________________________________ Expiration date :_____/______/

TOTAL AMOUNT PAID: $ ________
No refunds on the day of the event or 5 days prior to the event.
TOTAL AMOUNT PAID: $ ________  
50% DEPOSIT REQUIRED FOR ACCOMMODATIONS OR PRIVATE SESSIONS.  
FULL PAYMENT REQUIRED FOR EVENT.  
ANY BALANCE DUE MUST BE PAID IN FULL UPON ARRIVAL.

No refunds on the day of the event or 5 days prior to the event.  
CANCELLATION FEES
90 days or more - 25% of price 
60 days or more - 40% of price 
31-59 days - 50% of price 
6-30 days - 75% of price


Mail Registration Form, with check or money order payable, to:
World Tantra Association, 1371 Malaihi Road, Wailuku, Maui, HI  96793 (808) 244-4103

For more information: www.tantraconnection.com
Post message: TantraConnection@yahoogroups.com
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