Register for the Esoteric Quest Today

To register, please email the form below (one per registrant) to Andrea Lomanto at quest@opencenter.org, or mail to the N.Y. Open Center, Esoteric Quest, 22 East 30^th Street, NYC 10016.  For questions or comments, please email quest@opencenter.org or phone Andrea at +1-212-219-2527, ext. 101.  Your registration is complete only once you receive your confirmation, by post or email.

Date:
Name:
Address:
City:
State/Province:
Zip/Postal Code:
Country:
Telephone (Day):
Telephone (Evening):
Email:
Emergency Contact Information:
Name:
Phone:
Email:
Accommodations:
Pre plus Main Conference Accommodations:
singleshare
Main Conference Only Accommodations:
singleshare
Post-Conference Accommodations:
singleshare
Roommate selection for participants in shared accommodation (please choose one):
I have a confirmed roommate.I do not have a confirmed roommate; please choose one for me.
Roommate's Name:
Twin beds?One large bed?
For participants requesting a roommate (subject to availability, although the Open Center will do its best to locate an appropriate match!), please tell us your:
Age:
Gender / preferred pronoun:	MaleFemale
Smoker:	YesNo
If not smoker, willing to share with smoker?:	YesNo
Do you snore:	YesNo
Morning person?:	YesNo
Night owl?:	YesNo
Conference Payment:
Check as many options as apply.  Full payment is required to register.  Please note that it will be possible to arrange for monthly automatic credit card payments to facilitate registration. Registration discounts are available for groups of 5 or more participants registering and paying at the same time. Contact Andrea Lomanto at quest@opencenter.org or at +1-212-219-2527, ext. 101, to discuss payment plan options before registering.
*Please note that we can accept conference registration until Monday, July 9, 2018.

Pre + Main Conference Registration:
Pre-Conference Journey in the Sacred Valley, Peru Main Conference in Urubamba, Machu Picchu and Cusco – 20th – 28th of August 2018
by May 30, 2018 with double accommodations included: $4905 per personby May 30, 2018 with single accommodations included: $5375by July 9, 2018 with double accommodations included: $5055 per personby July 9, 2018 with single accommodations included: $5475
Optional Early Arrival in Urubamba - 20th and 21st of August 2018 *For participants not attending the Pre-Conference
With double accommodations: $110 per personWith single accommodations: $220
Main Conference Registration:
Main Conference in Urubamba, Machu Picchu and Cusco – 22nd – 28th of August 2018
by May 30, 2018 with double accommodations included: $3965 per personby May 30, 2018 with single accommodations included: $4335by July 9, 2018 with double accommodations included: $4115 per personby July 9, 2018 with single accommodations included: $4485
Optional Afternoon Activities in Cusco: 27th of August 2018 *These options take place simultaneously.
Visit to Saqsaywaman: $45Guided museum tour: $35
Optional Post-Conference Registration: Lake Titicaca Only – 28th – 31st of August 2018
With double accommodations: $565 per personWith single accommodations: $700
Optional Post-Conference Registration: Lake Titicaca and Bolivia – 28th of August – 3rd of September 2018
With double accommodations: $2425 per personWith single accommodations: $2950
Optional Boat Trip to the Floating Islands - 29th of August 2018 *For participants attending the Bolivia or Lake Titicaca Only program
$105

BOLIVIA PARTICIPANTS ONLY: Required for Post-Conference Bolivia Trip
Occupation:
Please check:
I am aware that a visa will be required by U.S. (and certain other) nationals to enter Bolivia, and that I must be in sufficiently good health* to participate in the Post-Conference Bolivia program.I am aware that I must email or mail a color copy of my passport to quest@opencenter.org or to the NY Open Center, 22 East 30th Street, NY, NY 10016 before July 16, 2018.
*Note: Please see our Bolivia Travel Tips page for information regarding the appropriateness of this program for you, and visa requirements for US nationals.

Registration		Total
Pre + Main Conference Registration Fee		$
Main Conference Registration Fee		$
Optional Early Arrival in Urubamba (for those not attending the Pre-Conference)		$
Optional Afternoon in Cusco - Museums		$
Optional Afternoon in Cusco - Saqsaywaman		$
Post-Conference Journey to Lake Titicaca Only		$
Post-Conference Journey to Lake Titicaca and Bolivia		$
Optional Boat Trip to the Floating Islands (for anyone in the Bolivia or Lake Titicaca Only trips)		$
Total Amount		$
Credit Card #:
Exp. Date:	/
Check #:
	(made payable to the New York Open Center)
Refund Policy:
A full refund, less a $200 processing fee, will be offered for cancellations made before Monday, July 9, 2018.
Note: Machu Picchu is at an altitude of 7,972 feet. Cusco is at an altitude of 11,152 feet. Lake Titicaca is at an altitude of 12,507 feet. People unaccustomed to high altitudes may experience fatigue and dizziness. This tour is not recommended for anyone with a heart or respiratory ailment or any condition that may be exacerbated by high altitudes. A moderate amount of walking is required. Participants are held responsible for being in sufficiently good health to take the trip.
Please check:
I am aware that I must have travel insurance to participate in this program.
Meal options:
Vegetarian (includes dairy and eggs)Vegetarian with FishFish & ChickenNon-vegetarian
Please indicate any special dietary concerns, which we will accommodate wherever possible:
How did you first hear about this conference?:
Postcard
Open Center catalog
The California Center for Integral Studies
Brochure (by mail or picked up where? )
Website (which one? )
Online Search
Friend (do you know how they found out? )
Other
Conference Welcome Packet:
A welcome packet that includes information about your arrival in Peru, travel tips and paperwork to return to the Open Center will follow. Please let us know how you would like to receive this:
EmailMail
Additional notes or comments:
	Please feel free to leave any additional notes or comments here. We will get back to you as soon as possible. Thank you for joining us!
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