*

Last name:

*

First name:

Spiritual name:

*

Address - street name and number:

*

City:

*

Area code:

*

Country:

Telephone:

Cell phone:

*

E-mail:

*

Number of adults:

Number of children:

*

Arrival date:

*

Arrival time:

*

Accommodations:  

*

Food:  

*

Departure date

*

Departure time

I come by car and can bring along:

Additional remarks:

Payment in cash by arrival 

Registering for the event will automatically give you membership of the Sacha Sangha Foreningen for the year 2011 and will expire on December 31st 2011.  After that you must renew it yourself if you wish to maintain the membership.