Healing Retreat To India 08-17 March' 2019
(Fill The Form In Swedish Or English)
Full Name *
Residential Address *
Enter The Full Address With Zip code and City
E-Mail Address *
Contact Number *
With Country Code
Gender *
Date Of Birth *
Hotel Accommodation *
Mention the name of your room mate in "other" option (if known), in case of double occupancy
Any Special Suggestions/Expectations/Requests/Arrangements *
My Main Reasons & My Expectations From This Travel Retreat To India
Tick which of the following options are much important for you during this spiritual healing retreat.
To heal my physical body
To find inner peace and stillness
To find my own self within, my own powers & strength
To heal my heart and open it for universal divine love
To develop my spirituality
To be with like-minded people
To visit India and its tourist destinations
To learn about Angels
1- Most Important (High Priority)
2- Highly Interested
3- Least Interested
To prepare and execute a beneficial and safe travel for you we need to save the information about you that you have stated in this form. We will not pass on this information to any 3rd parties. The information will only be used by A Lotus Heart (Sweden) and Shiv Heals (India). The information will be deleted at latest 1 year of the travel. *
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy