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:
Nov 2-9 2008 Double
Nov 2-9 2008 Single
Nov 10-17 2008 Double
Nov 10-17 Single
Dec 3-10 Double
Dec 3-10 Single
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
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