Name:	Surname:	Spiritual Name:	
Street:	Phone:		
Post Code:	City:	Country:	
Date of Birth:                            Nationality:                                  Email:			
Children participating in the Camp (3-13 y.o.), please provide Names, Surnames & Birthdates (Teenagers please fill in your own form)			
You participate in the Camp at your own risk. Zenith Institute is not liable for any accidents, injuries or illnesses that may occur during the Camp or as a consequence thereof. We strongly recommend you to book your own travel (accident) insurance!  
Date & Signature (if you are sending it by email, please write your name):			

   Please tick the appropriate box:

	1A Seminar 	July 21st - 27th	Pir Zia Inayat-Khan, Zuleikha: The Anatomy of Illumination 
	
	1B Family-Seminar		Majida Heiß: The Joy of Life	
	1C Seminar		Ophiel & Madhu Van Leer: The Song of the Soul	
	1D Group retreat			
	2A Community retreat 	July 28th - August 3rd	Pir Zia Inayat-Khan: Making One’s Own Nature	
	3A Seminar	August 4th - 10th	Atum & Emmanuel O’Kane: Showing the Way	
	3B Young Adults Retreat	(Aged 18-29)
	Deepa Patel, Jacob Ellenberg, Jayanara Fitzwilliam: Young Adults Retreat	
	3C Seminar		Mehmet Unman, Ali Ungan, Tarana Jobin: Music as Prayer	
	3D Group Retreat		Saki Lee & Latif Peter Brinck: Leap! And A Net Will Appear	
	4A Seminar	August 11th - 17th	Robin Becker: Moving Courageously Into Life	
	4B Seminar		Nigel Hamilton: Illumination In Life	
	4C Seminar		Shahabuddin Less, Casey Bledsoe: Partnering with Our Souls in Life	
	4D Group retreat		Faz’l Stein, Espabad Kindl: Presence, Healing, Illumination	
	Individual retreat	Which Week?	Individual Retreat in Week (1, 2, 3 and/or 4)	
	Youth participation	Which Week?	Youths aged 14-18 in Week (1, 2, 3 and/or 4)	

I want to pay in the following currency:                                       	CHF		EUR		
 
Early Bird Price (-10% of base price) Reserve by transfer of 50%of total price before May 1st 	YES		NO		

A  Amount weeks:                                                                             (see Price table below)  =               										
B  Other times: from                         to                                                      x Daily rate = 										
C  Subtotal A+B										
D Amount Children  (1st child =)           x 50%, (more)         x 30%,    										
E  Subtotal C+D										
F  Student/Unemployed Discount     -10% of E											
G  Subtotal E-F										
H Youth Participation                         (Before May 1st CHF 378 € 321 // After May 1st  CHF 420 € 357)
										
I  Camp for Young Adults    ( Before May 1st CHF 490 € 417 // After May 1st CHF 545 € 463)										
J   Supplement for week   1A, 2A, 3A, 4A & 4C    CHF 85, EUR 75                  x             =										
K  Total  Seminar costs 										
L  Dormitory:  Weekly price:  CHF 96 € 82// Daily rate (extra nights):  CHF 16, € 14 (Reserve by transfer of 50%)										
M  Tent rental per week CHF 145, € 123  Number of weeks:                (Reserve by transfer of 50% )										
N Donation for: 		  Hope Project		  Zenith Institute		   Another Participant		  Youth Fund		
O TOTAL  										
P  Prepayment by Transfer in the amount of: 										
Q   REST, payable in cash upon arrival in camp (ATTENTION: We can´t accept credit cards or cheques!)										

Please save and then email to: secr@zenithinstitute.com
Or print and send to: Zenith Institute, Ellesmere, North Street, Westbourne, Hants, PO10 8SS, UK

   Is it your first time at the Camp? If so, please tell us shortly how you heard about it. 

                                                                                                Mark                                        Comments
Friends & family/ Word of mouth			
Advertisement / Flyer			
Website  / Internet 			
Sufi centre			
Seminar or event			
Other, please specify			

   PRICE TABLE 2019
Early bird price (before the 1st May)			
Basic weekly price (with own tent)	CHF 585	€ 497	
Youth Participation	CHF 378	€ 321	
Young Adults Camp	CHF 490	€ 417	
Price after the 1st May			
Basic weekly price (with own tent)	CHF 650	€ 553 	
Youth Participation 	CHF 420	€ 357	
Young Adults Camp	CHF 545	€ 463	
Daily Price	CHF 115	€ 98	
 If you stay for 2 or more weeks, there is a 5% discount on the additional week.			
Supplement for weeks 1A, 2A, 4A & 4B	CHF 85	€ 75	
 			
Accommodation			
Tent rental per week	CHF 145	€ 123	
Dormitory per night	CHF 16	€ 14	
 * Prices may vary according to the exchange rate.

  Payments by bank transfer, PayPal or cash on location.
  Please make all orders payable to “Zenith Institute”: 
Zenith Institute, Banca Raiffeisen Olivone (Switzerland), Bank code 80 350
in CHF: Account # 10062.36
IBAN CH84 8035 0000 0010 0623 6 Swift/BIC: RAIFCH22
in Euro: Account # 10062.62
IBAN CH61 8035 0000 0010 0626 2 Swift/BIC: RAIFCH22
  Please note that we cannot accept cheques.