Enchanted Mountain Registrations
Ayurvedic Vacation

$995 Double / $1095 Single
Panchakarma

$1495 Double / $1595 Single
IYT Yoga Vacation

$895 Double / $995 Single
First Name
Mid Name
(if used)
Last Name
Address
City
State
Zip
Day Phone
Eve Phone
E-mail*
*Provide a valid email address and you will receive a copy of this form as confirmation that your registration has been submitted
Comments
$295 Deposit holds your space
Please indicate housing option:
Payment Information: Visa Mastercard Amex Discover
Credit Card # (no spaces)
Exp.date
CVV Code Amount
To finish your credit card registration online, click Submit. To pay by check, print this form and send by mail with your payment.
Enchanted Mountain Reservations
Integrative Yoga Therapy
1161 East Marion St #179
Shelby NC 28150
(800) 750-9642 / (415) 670-9642

www.iytyogatherapy.com

e-mail: info@iytyogatherapy.com
Home Schedule