Kesh Cottage

335 Lugonia Street

Newport Beach, CA. 92663

email us * 949-302-2754

SACRED PILGRIMAGE 2009 REGISTRATION & DEPOSIT

To book this tour, please complete the form and send with your $300.00 deposit.

Make checks payable to: Kisma Reidling

Mail your deposit and registration form to:

Faerie Dance Tours

Kesh Cottage

335 Lugonia Street

Newport Beach, CA 92663

REGISTRATION FORM:

Enclosed is my $300.00 non-refundable deposit

Name:___________________________________________________________________________

Address:_________________________________________________________________________

City/State/Zip:____________________________________________________________________

Tel#:__________________________________ Email:____________________________________

Passport #:_______________________________________________________________________

Date of Birth:____________________________________________________________________

Roommate if known:______________________________________________________________

Signature:_______________________________________________________________________

I heard about this journey from_____________________________________________________

__ Please contact me regarding an alternative payment schedule as I will not be able to work with

the Standard Payment Schedule posted.

Thank you and Faery Blessings. A confirmation letter will be sent to you upon receipt of your registration and deposit.