Formular inscriere ROATA MEDICINEI SI UNELTELE SAMANULUI (RM-US)- Chris Waters - Modulul SUD - 08-13 Aprilie 2022 / Registration Form MEDICINE WHEEL & SHAMAN HEALING TOOLS - Chris Waters- SOUTH Module 08-13 Aprilie 2022

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Perioada de desfasurare / Period: 08-13 April 2022
Persoana contact / Contact person - PATRICIA MEDA – patriciameda79@gmail.com; tel. 0730 654747
Locatie / Location : Resort Mistral Moeciu de Sus – Romania.
https://www.mistralresort.ro/contact/

Numele complet / Full name *

Adresa de resedinta (cel putin orasul si judetul) / Address (at least town and country)

E-mail *

Telefon / Phone number *

Ai mai urmat cursul Roata Medicinei cu Chris Waters sau Team-ul scolii? *

Sunt stundet nou ( cost / modul SUD 480 GBP)/ New student (cost / module 480 GBP)

Am parcurs integral, cel putin o data, Roata Medicinei si Uneltele Samanului cu Chris Waters ( cost / modul SUD 300 GBP)/ I have fully attended, at least once, Medicine Wheel and Shaman healing Tools with Chris Waters (cost/module 300 GBP)

Am parcurs integral, cel putin o data, Roata Medicinei cu Team-ul scolii ( cost / modul SUD 350 GBP)/ I have fully attended, at least once, Medicine Wheel with School Team (cost/module 350 GBP)

Te rugam sa platesti un avans de 600 RON (nerambursabil) pana cel tarziu 25 martie 2022, in contul RO65 BTRL RONC RT05 0263 9101 deschis la Banca Transilvania, beneficiar SC INTI RISE SRL; CUI: 41220470 - pentru rezervarea unui loc la curs. Te rugam sa mentionezi in detaliile de plata "curs Roata Medicinei SUD" si numele participantului. / Please pay 600 RON deposit (non-refundable) until March 25 2022, in the account RO65 BTRL RONC RT05 0263 9101 opened at Banca Transilvania, beneficiary SC INTI RISE SRL; CUI: 41220470 - for booking a place for the training. Please mention in the payment details "Medicine Wheel South" and the name of the participant. *

Voi achita avansul de 600 RON, pana la data indicata / Yes, I will pay 600 RON deposit before the mentioned deadline

Voi plati restul pana la valoare cursului pana cel tarziu 04 aprilie 2022 / I will pay the remaining amount until 04 April 2022 *

DA / YES

Data sosirii / Arrival date *

Joi, 07 april 2022, dupa amiaza / Thu, 07 April 2022

Vineri, 08 April 2022, cel tarziu ora 09:00 pentru a fi gata de inceperea cursului la ora 10:00 / Fri, 08 April 2022, at latest 9:00 AM to be ready for beginning the training at 10:00 AM

Optiune cazare - pret cu TVA inclus si mic dejun inclus (detalii camere pe site resort) / Accommodation option - price with VAT and breakfast included ( room details on venue internet site) https://www.mistralresort.ro/cazare/ *

loc in camera standard dubla (93 lei/noapte)/ bed in double standard room ( 93 lei / night)

loc in camera duplex dubla (113 lei/noapte) / bed in double duplex room ( 113 lei / night)

single in camera dubla standard (165 lei/noapte)/ single in double standard room ( 165 lei / night)

Cu cine doresti sa imparti camera? (raspuns optional) / Who do you want to share the room with? (optional answer)

Optiune mese* (micul dejun este deja inclus in pretul camerei) / Meals option* (breakfast is already included in the room rate) (*) Pranzul este organizat tip bufet, iar seara se comanda individual A La Carte / Lunch is buffet type and dinner will be individually ordered *

doar pranz (approx. 65 lei / zi) / only lunch (approx. 65 lei / day)

pranz (approx. 65 lei / zi) + cina A la Carte / lunch (approx. 65 lei / day) + dinner A la Carte

Optiune meniu / Menu option *

vegan

lacto-vegetarian

lacto‐vegetarian + peste / lacto-vegetarian + fish

cu carne / with meat

Date de facturare (raspuns optional), doar daca doriti factura pentru serviciile de la hotel: cazare si masa (firma/persoana fizica, CUI/CNP; Nr. reg. com.; adresa, oras) / Invoicing data (optional answer), only if you want invoice for hotel services: accommodation and meals (company name/ individual, registered number, address, town;)

Alte observatii - daca sunt, inclusiv observatii legate de anumite restrictii alimentare (raspuns optional) / Other remarks - if any, including remarks on certain food restrictions (optional)

Acord prelucrare date personale / Personal data processing ageement *

Sunt de acord cu stocarea și folosirea datelor mele personale in vederea primirii de informatii despre cursul "Roata Medicinei" si alte cursuri organizate de Scoala Medicina Samanica / I agree to the storage and use of my personal data and to receive information about the "Medicine Wheel" course and other courses organized by Medicina Samanica School

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