Retreat for Artists - Workshop Registration Form: Registrants Name_______________________________________________ M( ) F( ) Couple ( ) Type of Accommodations requested: ___Single Room($950) ___Shared Room ($800) Address_________________________________________________________________ City__________________________________State_____ Zip__________Country________ Home Phone________________________________ Work Phone________________________________ Email__________________________________________________________________ Payment method: Check__Credit Card __VISA ___ Mastercard___ Name on Credit Card_____________________________ Expiration Date:__________________ Credit Card #:_____________________________________________________________ Fees to be charged: $100 nonrefundable deposit_____ Tuition, Room & Board Fee_________ Total Charge___________ Total Payment Due_____________ We accept reservations by fax or by mail only. All fax reservations must include credit card information. Fax Completed Registration Forms to: 530-292-3831 Mail Completed Registration Forms to: Artist’s Retreat, Ananda Institute of Alternative Living, 14618 Tyler Foote Road, #114, Nevada City, CA 95959. Or call (530) 292-3024 to reserve your space with a credit card. Final payment due 5 days prior to workshop date. Make Checks to: Ananda Institute of Alternative Living. Cancellation policy: Cancellations must be made by phone with one of our reservation staff. If you cancel or change any part of your reservation at least five full days before the start of your workshop, your nonrefundable deposit, less a $50-per-workshop processing fee, will be transferred to a credit account to be used within one year. "five full days" means by Tuesday before a Sunday workshop and by Sunday before a Friday workshop. If you cancel with less than five days’ notice, you forfeit your entire deposit. If you have prepaid your entire reservation fee, we will retain the deposit, as above, less the $50 processing fee, and return the balance to you. If you wish to make reservations for more than one person, please print a copy of this form so there is a form for each registrant, unless you are registering as a couple with the same address and phone number. A non-refundable deposit for each person registering and each workshop applied for must accompany this form. Retreat for Artists Application Form Ananda Meditation Retreat, 14618 Tyler Foote Road #114, Nevada City, CA 95959 . Tel: 530 - 292 - 3024 . M-F 9-5 pm, PST Email: reservations@meditationretreat.org