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					Mailing Address: One Heart Productions, LLC PO Box 687, Sedona, AZ 86339 Phone: 928-204-0741 or 928-204-0874 Fax: 928-282-6791 heartofjapan@aol.com solarheart@aol.com

Living in the Heart Journey to Japan
Option 1 – Living in the Heart Workshop with Drunvalo Melchizedek plus Sacred Sites Tour September 1 – 16, 2005 Option 2 – Living in the Heart Sacred Sites Tour (Tour only) September 5 – 16, 2005 Tour led by Diane M. Cooper and Robert Dakota of Spirit of Ma’at and WorldViewz (Includes a special day and evening with Drunvalo at Mt. Fuji)

Registration Form
Name: ___________________________________________ Mailing Address: ___________________________________ City: ____________________________________________ State/Province: ____________________________________ Country: ____________ Zip Code: _______________________ Daytime Phone:_______________ Evening Phone: ____________ Email Address: (important)__________________________________ Name you like to be called: ________________________________ Male: _____ Female: _____ Name as it appears on your Passport:
__________________________________________________________ Passport Number _____________________Country_____________ Expiration ________________________________________________ Place of Issuance ______________ Birthplace _______________

Birthdate: __________________

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Please photocopy your passport and send it along with your application.
For your convenience, we have created several payment options for you. Early Bird Registration must be paid in full by June 10th. $777 Non-Refundable Deposit must accompany your registration for all options.

Please choose one of the following payment options: (check your choice)
Option 1: Living in the Heart Workshop with Drunvalo Melchizedek
plus Sacred Sites Tour ~ September 1 – 16, 2005 Includes double occupancy accommodations for workshop and trip / breakfast included during workshop – All meals for tour as indicated on itinerary. (Single occupancy accommodations for workshop only) Early Bird – Paid in Full by June 10th Double Occupancy – Workshop/Tour Cash, Check, Money Order $4,444 Bank Transfer $4,464 Credit Card $4,600 Non-Refundable Deposit (Balance due by June 10th) $ 777

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Single Occupancy – Workshop ONLY (*Tour is double occupancy) Cash, Check, Money Order $4,925 ________ Bank Transfer $4,945 ________ Credit Card $5,097 ________ Non-Refundable Deposit (Balance due by June 10th) $ 777 ________

*As of Sept 5 accomodations will revert to double occupancy during the length of the journey unless otherwise arranged. After June 10th Balance Due – by August 1st. Double Occupancy – Workshop/Tour Cash, Check, Money Order $4,799 Bank Transfer $4,819 Credit Card $4,970 Non-Refundable Deposit $ 777

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(Balance due by August 1st) Single Occupancy – Workshop ONLY Cash, Check, Money Order $5,036 Bank Transfer $5,056 Credit Card $5,212 Non-Refundable Deposit (Balance due by August 1st) $ 777 ________ ________ ________ ________

Option 2 – Living in the Heart Sacred Sites Tour (Tour only) September 5 – 16, 2005 Includes double occupancy accommodations and meals for tour as indicated on itinerary. Early Bird – Paid in Full by June 10th Double Occupancy –Tour Only* Cash, Check, Money Order $3,888 Bank Transfer $3,908 Credit Card $4,024 Non-Refundable Deposit (Balance due by June 10th) $ 777

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After June 10th Double Occupancy –Tour Only* Cash, Check, Money Order $3,999 Bank Transfer $4,019 Credit Card $4,133 Non-Refundable Deposit (Balance due by August 1st) $ 777

________ ________ ________ ________

*Single Occupancy is available but is extremely expensive ($1,000 - 1,500 additional) due to the nature of the Japanese Guest Houses in which we will be staying. If you are interested contact Diane Cooper 928-204-0741 or email: heartofjapan@aol.com CREDIT CARD PAYMENTS: We are able to take Credit Card payments through PayPal. Payment should be made to our PayPal Account Email address: earthskyheart@aol.com For assistance please contact Diane at 928 204 0741 or email at: heartofjapan@aol.com

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BANK TRANSFERS: I will be making a bank transfer on __________ amount ___________. Bank Of America Sedona, Arizona 86336 Account name: One Heart Productions, LLC Account # 003730976278 ABA # 063100277 Please fax bank transfer receipt to 928-282-6791. CHECKS OR MONEY ORDERS: I will be sending a personal check or money order on ___________, 2005. $___________amount. All checks and monetary documents should be made payable to: One Heart Productions, LLC and sent to PO Box 687, Sedona, AZ 86339.

Please photocopy your passport and send it along with your application.
All rooms are double occupancy. I will need a roommate __________ Roommates Name (if known) ___________________________________ While we will do our best to find you a suitable roommate in a double occupancy room, if one is not found we will place you with others in a similar situation in a triple occupancy room. Note: Single Rooms are available – however extremely costly due to the nature of our accommodations (Traditional Japanese Ryokans) $1,000 - 1500 additionally. If you are interested please contact Diane 928 204 0741. Are you a vegetarian? Yes_____ No _______ Do you have diet restrictions and if so what? ________________________________________________________________ ________________________________________________________________ Are you a smoker? Do you snore ? ______ yes _____ no ______ yes _____ no

I have physical limitations that may require special attention: ______yes __ ___ no If Yes, please describe completely. (please let us know of anything that might be of concern).

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_____________________________________________________________ _____________________________________________________________ _____________________________________________________________ Emergency Contact Information: Name ______________________________________________________ Relationship ______________________Phone ______________________ Terms and Conditions: By initialing the following "Tour Conditions" I indicate that I have read the tour conditions and agree to comply. _________ initial here Please sign the form at the end of this document. If you have any questions, please contact One Heart Productions at 928 204-0741 or 928 204-0874 or email at: heartofjapan@aol.com or solarheart@aol.com

Tour Conditions: (the small print) PLEASE READ CAREFULLY
Accommodations: are based on 2 persons sharing rooms in Traditional Japanese Guest Houses unless otherwise specified in the itinerary. If you do not have a roommate we will attempt to find one for you. Baggage: 1 piece of luggage and 1 carry-on. You may bring a soft bag to carry purchased items for your return. Cancellation and Refunds: All cancellations must be made in writing to One Heart Productions, LLC. All tours are subject to the following cancellation charges. $777.00 non-refundable deposit. Balances are to be paid by August 1st. No refunds after July 15th whatsoever for any reason. THERE WILL BE NO REFUNDS WHATSOEVER, FOR ANY REASON, AFTER July 15 th 2005. CANCELLATION INSURANCE IS HIGHLY RECOMMENDED. Once tour has commenced there will be no refunds for any unused or partially used tour features. In all cases, cancellations fee do apply and are non-refundable for any reason, including sickness, or other emergencies. AGAIN, we highly recommend that you purchase cancellation insurance to cover unforeseen events. TOUR COST DOES NOT INCLUDE: Airfare from your home town to Narita, Japan and back; items of a personal nature such as laundry, liquor and phone; beverages, including bottled water, snacks, and additional food items other than what is listed in the itinerary and gratuities. GRATUITIES: In Japan, tipping is not necessary, however we do recommend that you set aside apx. $5 a day for your guides. RESPONSIBILITY: One Heart Productions LLC and its agents, Diane M. Cooper, Robert Dakota, Drunvalo Melchizedek, Spirit of Ma'at LLC, WorldViewz, LLC and its agents, Keiko Anaguchi Dynavision Corp. , act only in the capacity as an agent for the passengers in all matters connected with lodging and accommodations, sight-seeing tours and transportation, whether by air, train, cruise, motorcoach, motor vehicle, and any other means of conveyance, and shall not be responsible

6 or liable for any injury, loss, accident, delay or irregularity or incident resulting from strikes, weather, government regulation, acts of war, Acts of God; nor shall they be responsible for any damage or loss of luggage for any reason during the course of the trip, or act or omission of any individual or organization providing the transportation, services or accommodations in connection with these arrangements, nor for any delay or expense incurred due to disruption or revision of schedules, nor for any cause beyond its own control. The right is reserved to One Heart Productions, LLC, to withdraw a tour, or decline to accept or retain any person as a member of the tour at any time, or to make changes in the published itinerary whenever in their sole judgement, conditions warrant or if they deem necessary for the comfort, convenience, or safety of the passengers. One Heart Productions, LLC. shall have the right at any time at its discretion to cancel any tour or the remainder thereof or make any alteration in route, accommodation, price, or other details, and in the event of any tour being rendered impossible, illegal, or inadvisable by weather, avalanches, strike, war, governmental interference or any other cause whatsoever. Any extra expenses incurred as a result thereof shall be your sole responsibility. All prices are based on tariffs and exchange rates in effect on May 1 st, 2005, and are subject to change in the event of an adjustment therein. If costs do fluctuate due to circumstances beyond our control, we reserve the right to alter our quoted price to you. Acceptance of any travel plan shall be deemed to constitute acceptance of this limitation of responsibility. The person making any booking will, by the making of such booking, warrant that he or she has authority to enter into a contract on behalf of the other person/s included in such a booking and in the event of the failure of any or all of the other person/s so included to make payment, the person making the booking shall by his/her signature thereof assume personal liability for the total price of all bookings made by him/her. INSURANCE: You must take out comprehensive insurance coverage before travel for cancellation, medical expenses, personal baggage and money. This should be arranged at the time of payment of the deposit or payment in full to cover you for cancellation after that time. TRAVEL INSURANCE IS HIGHLY RECOMMENDED. Travel Insurers in the U.S. Access America (804) 285-3300 or (800) 284-8300 Travel Guard International (715) 334-0505 or (800) 826-1300 Also check AAA or American Express I have read and fully understood the terms and conditions of this agreement.

Signature:

Date:

Email. Fax or Snail mail this form to the above address with your deposit or payment in full. Thank you.

Email Address: heartofjapan@aol.com Phone: 928-204-0741 Fax: 928-282-6791 Mailing Address: One Heart Productions, LLC, PO Box 687, Sedona, AZ 86339


				
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