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INITIATION TRIPS TO PERU:

Wiraqocha Foundation offers the Hatun Karpay, or Great Initiation, a ten-day initiatory experience into the heart of Andean nature mysticism.

Click DATES to details of this year's Initiation Trips To Peru.

Click PRACTICAL DETAILS which includes prices to get that information.

Click DAY-BY-DAY ITINERARY for the Hatun Karpay trips.

Please fill out the following REGISTRATION FORM below to participate in the 10-Day Hatun Karpay. Thank you!

NAME: (As It Appears Exactly On Passport) *

ATTENTION! Please make sure it is the name as it appears on the passport!

MAILING ADDRESS Street *

CITY:

STATE: *

ZIP CODE: *

Please put your code of your city/providence if not in the United States.

OFFICE PHONE:

RESIDENTIAL PHONE: *

CELL PHONE:

FAX NUMBER:

EMAIL:

DATE OF BIRTH: *

PASSPORT NUMBER: *

PASSPORT EXPIRATION DATE: *

I Want To Share A Room With:

I Am Willing To Share A Room With A * FemaleMaleEither

I Prefer A Single Room Yes

A single supplement requires 20% addition to the trip cost.

EMERGENCY CONTACT NAME: *

EMERGENCY CONTACT NUMBER: *

T-Shirt Size SMLXLXXL

Vegetarian? YESNO

TRIP #

DEPOSIT $ 500

Full Amount USD $

Trip #_________, 20___(Year) Hatun Karpay led by Elizabeth B. Jenkins

Check dates carefully; failure to pay on time may disqualify your trip participation.
Full payment due 65 days prior to travel date.
All participants required to carry full Emergency Medical Insurance.

PAYMENT METHOD: CHECK ENCLOSED (Payable to Wiraqocha Foundation

NOTE: Check paying customers in addition to submitting this form electronically, please print this form out and mail with check to:

WIRAQOCHA FOUNDATION
PO BOX 500
NA'ALEHU, HI 96772

(808) 929-7370

THANK YOU.

If you have further questions or concerns please don't hesitate to contact us through our CONTACT INFO Page.

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