Registration 5-Day Kallara Retreat 22–27 June 2019 The retreat will start on Saturday 22nd June 2019 at 2.30pm and finish on Thursday 27th June 2019 at 12pm. The cost for the retreat is AUD$685 and this includes all teaching, food and accommodation. You will need to bring your own bedding. Please bring single bed sheets (unless directed otherwise) or sleeping bag, pillow, and blanket and/or doona. Retreat code: Kallara June* indicates required form field Name* First Last Gender*MaleFemaleContact DetailsEmail*Please provide a current email address Phone*Mobile or landlineAddress* Address Line 1 (optional) Address Line 2 City or Town State / Province / Region ZIP / Postal Code Select your CountryAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Emergency Contact Person: Full Name*Emergency Contact Person: Mobile or Landline*Payment*Direct Deposit - $100 DepositDirect Deposit - $685 Full AmountPayPal - $100 DepositPayPal - $685 Full AmountDIRECT DEPOSIT A deposit is required to register for this retreat, or you can pay the full amount. Please visit your bank online or in person to organise payment. Simple Meditation payment details will be emailed to you but if you would like to see these details online, visit FAQs: Payment > Bank Details. On the transfer details please include your initials (from the name you have registered with) + the retreat code. e.g. (your initials) XX Kallara June If you are paying a deposit today you do not need to re-submit this form to pay the balance. Just include your initials + retreat code with your follow-up payment. If you are paying a deposit by PayPal today, please remember to log in to your PayPal account and pay the balance of funds. There is no need to re-submit this form. Payments are to PayPal account: firstname.lastname@example.org If you have an Australian bank account you can also pay the balance by Direct Deposit. The balance is appreciated by 31 May (3 weeks before retreat).Most people will bring their own bedding but if that is not possible we can supply a light blanket, sheets, doona and pillow for your use for AUD$50. (We will take care of laundering afterwards).Bedding Pack (optiona)If you require a bedding pack, please check the box below as we need to know before retreat starts. If you are paying the full amount today you can choose to pay for the bedding pack in your registration payment, or pay cash separately. YES, I will require beddingInclude Bedding Pack Payment (optional)Bedding Pack (pay by PayPal), $50Include Bedding Pack (optional)Bedding Pack (pay by Direct Deposit), $50Please Pay $ 0.00 OtherTravel Arrangements (optional) I need a lift I can offer a lift to othersWe try to connect people who NEED a lift with people who can OFFER a lift. If you need a lift, your email address may be shared with someone offering a lift. If you are offering a lift, thanks for your generosity. Contact email@example.com if you still have any queries.Any other comments (optional) ?Email Newsletter (optional)Occasionally Linda sends out retreat news and reminders. Would you like to be on this email list? To opt out at a later date visit the Simple Meditation "Contact" page to unsubscribe. If you've previously subscribed on a different registration form, you are already on our list. No thanksI already receive these emailsYes pleaseCancellation and Refunds*Please let us know if you cannot attend a booked retreat. Retreat registrations and fees are not transferable to other people or events. To register for the retreat, a AUD$100 deposit is required. CANCELLATIONS - Cancellations made up to 31 May will incur a fee of AUD$100. - Participants who cancel on 1 June – up to 20 June will receive a 50% refund of the full amount. - Non-attendance or 1 day before (21 June) cancellation - no refund *I have read the Cancellations and Refunds (required checkbox)This retreat may be recorded for teaching purposes. Wait ... the onscreen confirmation can take some seconds to appear. If you are paying by PayPal you won't see the confirmation screen. Instead you will be taken directly to PayPal, in which case you know your submission is being processed. If you get an error message there may be a missing or incorrect field.