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with Kate Mitcheom - CNM, MSN, RYT, EMP

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Register for Southeast Asia Immersion: Bali + Transition Day + Mekong

Southeast Asia Intro | Bali Details | Bali Itinerary | Mekong Details | Mekong Itinerary

Yes! Sign me up for the full Southeast Asia Immersion *

I have already signed up for the Bali segment.

If not, Reserve Bali ALIVE now and come back!

Name *

First

Last

Email *

Email

Confirm Email

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone number *

How did you hear about Southeast Asia Immersion? *

Email from Kate Mitcheom / Heart-Based Mindfulness
Saw on Kate’s website
Friend told me
Other

Please explain. Thank you!

Your choice of stateroom on the Mekong river cruise determines the price of your tour package.

View stateroom photos and floorplans here. Twin Balcony staterooms are listed as CAT A, B, and C.

Choose your stateroom for the cruise *

Twin Balcony CAT B: $5936 per person
Suite: $6856 per person

You have chosen a Twin Balcony for $5936 per person.

You have chosen a Suite for $6856 per person.

Single occupancy upgrade may be available.

Please inform me about single occupancy prices.

Roommate assignment? *

I already have a roommate.
Please assign me a roommate.

Name of my roommate

For rooming assignment purposes, do you identify as *

Male
Female

If you are not traveling with someone you would like to share a room with, we will pair you with another solo traveler. If no one is available, single occupancy supplement will apply.

$400 Deposit Due with Registration

Check or Venmo preferred

I plan to pay the $400.00 deposit by: *

Check
Venmo: @Kate-mitcheom
Credit Card via PayPal
Zelle: @Kate Mitcheom

Your deposit of $400 is due immediately following registration. *

I understand that my space is not reserved until Kate Mitcheom receives my check at the address listed below.

Please make your $400.00 check payable to Kate Mitcheom and mail to:

Kate Mitcheom
17 Haycock Point Road
East Branford, CT 06405

Your deposit of $400 via Venmo is due immediately following registration. *

I understand that my space is not reserved until Kate Mitcheom receives my Venmo payment.

Venmo = @Kate-mitcheom

Your deposit of $400 via Zelle is due immediately following registration. *

I understand that my space is not reserved until Kate Mitcheom receives my Venmo payment.

Zelle = @Kate Mitcheom

Your deposit of $400 via credit card is due immediately following registration. *

I understand that my space is not reserved until Kate Mitcheom receives my credit card payment.

After submission of this form, you will be sent to PayPal to complete your payment. Your deposit of $400 via credit card is due immediately following registration.
No need to have a PayPal account. You may choose “Pay with debit or credit card” and check out as Guest.

Total to be collected by credit card today

Price: $ 400.00

The balance of your Mekong Cruise is due June 15, 2023. *

I will be paying the $5536 balance for my Twin Balcony Package

Kindly note that NO REFUNDS will be made.
We recommend you consider buying travel protection insurance. Learn more

The balance of your Mekong Cruise is due June 15, 2023. *

I will be paying the $6456 balance for my Suite Package

Kindly note that NO REFUNDS will be made.
We recommend you consider buying travel protection insurance. Learn more

Questions or comments? Please share below.

I can’t wait to see you for the FULL Southeast Asia Immersion!

Kate

Website

Heart-Based Mindfulness

Contact Kate · 203-887-8932

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