Booking Form

WWW.HealingBrazil.Com - Booking Form (2 pages) Print & Complete

I always fly from Heathrow (UK) with connecting flights via Sao Paulo or Lisbon, each arrives in Brasilia . If you are coming from an area that has an International Airport flying to Brazil, and make your own arrangements. Please let me know!

Visit to the Casa de Dom Inacio in Abadiania in Brazil

Full Name : This MUST be exactly as it appears on your Passport (BLOCK CAPITALS PLEASE)

Mr, Mrs ,Miss M/s____________________________________________________

Address____________________________________________________________
__________________________________________________________________
__________________________________________________________________
County_____________________________________________________________
Postcode___________________________________________________________
Telephone No.________________________________________________________
Mobile______________________________________________________________
E-Mail______________________________________________________________

Passport No. Required by Minicab drivers)
___________________________________________________________________
Passport Expiry date___________________________________________________

You will not be allowed into Brazil unless you have a minimum of 6 months outstanding on your current Passport) I would like to join you on a visit to Abadiania for a period of 1 week@ £550 - 2 weeks @ £875 – 3 weeks @ £1,300 - prices are per person. Please delete the above periods not required leaving your choice clear (period of stay is flexible please enquire)

Period of Stay From___________________________________________________
To_________________________________________________________________

Flight numbers and Times
Outbound___________________________________________________________
Inbound____________________________________________________________
Airline_____________________________________________________________

With regard to the flights to and from Brazil, I always fly from Heathrow (UK) with connecting Flights via Sao Paulo or Lisbon, If you are coming from an area that has an International Airport flying to Brazil, and wish to make your own way. Please let me know! but you will have additional costs on arrival at Brasilia, this relates to the taxi/coach costs to Abadiania, a journey of around 90 minutes. (Cost approx. £62 each way which can be shared with others in the group) There is a mandatory £400 non-returnable deposit per person due with every booking, although you may wish to pay in full at the time of booking. In the event of cancellation by you your payment less £150 (per person) will be refunded to you, subject to the conditions as stated in this form, If you pay just the £400 deposit the balance is due in full on or before 6 weeks prior to departure.
The price includes full board in a small family run Pousada (Hotel) and my guidance on the Casa days (Wednesday, Thursday and Friday) but not the transfer costs to and from the airport, all other costs are in addition

Signature_____________________________________________________________
Date_________________________________________________________________

Contact Details (in case of illness etc;)
Name of Person to Contact________________________________________________
Their Address__________________________________________________________
_____________________________________________________________________
_____________________________________________________________________

Their Phone Number (including Area Code)

______________________________________________________________________________

Disclaimer

(Please Sign and Complete and Return To HealingBrazil.Com )

Note 1: I understand that my participation in this visit to the Casa de Dom Inacio in Abadiania does not imply or guarantee any cure. Miraculous cures and improvements in health have occurred at The Casa but they cannot be guaranteed for any individual. I completely understand that I am making this visit as a pathway on my own spiritual journey

Note 2: I acknowledge that, while every care is exercised by the Tour Guide(s) to ensure the comfort and safety of the undersigned and their companions, the responsibility for any loss (including personal injury, death, and/or property loss), accident, misfortune or medical condition shall always be the responsibility of the tour participant.
The tour guide(s) is not responsible for any physical, mental, emotional or other reaction, trauma or ailment during the trip or occurring afterwards that the participants may experience at the power vortexes or sites.

Note 3 :I Confirm that I am Able to make this trip to Brazil and return home again. (if you are in any doubt about your health Please consult your Doctor)
Please indicate your acceptance of these requirements by signing below

Signature_____________________Date__________

Please send a completed form for each person & total cheque made payable
to PHYLLIS BENNETT and post to

Phyllis Bennett, Station Court, Flat 6, 105-107 Ambleside Drive, Southchurch, Southend-on-Sea, Essex, SS1 2EU

My E-Mail is: Healingbrazil@Hotmail.Com