REGISTRATION FORM

Path of the Magdalene — Tracing her Footsteps

Full Moon Equinox in Southern France
September 14 - 24, 2010

Welcome to our Path of the Magdalene — Tracing her Footsteps Full Moon Equinox in Southern France, September 14 - 24, 2010. Please fill out the following information and sign and return as soon as possible. Acceptance of all conditions of the Tour Responsibility Waiver and the two Tour Logistics Pages is confirmed by your dated signature on this form.

Name as it appears on passport ______________________________________________

Name you wish to be called _________________________________________________

Mailing address ___________________________________________________________

Home phone _________________________ Work phone __________________________

Email ______________________________ Website ______________________________

Occupation _______________________________ Address ________________________

Birth date (month, day, year)_______________ Birth time and place __________________

Passport number__________________ Date and place of issue______________________

In case of emergency notify __________________________________________________

Phone _________________________________ Relationship________________________

Special dietary and health needs ______________________________________________

_________________________________________________________________________

Roommate preference ______________________________________________________

(Single Supplement when available is $600.00).

**I have read the Tour Logistics/Tour Responsibility pages and agree to the conditions:

Signed__________________________________________

Date____________________________________________

**Please make payments to: Ani Williams and mail with registration form to:
Ani Williams, 2675 W. Hwy 89A, #1081, Sedona, AZ 86336 or Fax: 928-282-5870.
We are looking forward to your presence on Path of the Magdalene — Tracing her Footsteps Full Moon Equinox in Southern France, September 14 - 24, 2010. May many blessings and good fortune come your way! Ani