To register, please email the form below (one per registrant) to Andrea Lomanto at quest@opencenter.org, or mail to the N.Y. Open Center, Esoteric Quest, 22 East 30th Street, NYC 10016.  For questions or comments, please email quest@opencenter.org or phone Andrea at +1-212-219-2527, ext. 101.  Your registration is complete only once you receive your confirmation, by post or email.

Date:
Name:
Traveling Companion(s) for Pre and/or Main Conference room shares:
Address:
City:
State/Province:
Zip/Postal Code:
Country:
Telephone (Day):
Telephone (Evening):
Email:
     

Emergency Contact Information:

Name:
Phone:
Email:
     

For those of us joining our Post-Conference Malta Journey:

Name exactly as it appears on your passport:
Passport Number:
Country of Issue:
Date of Issue:
Date of Expiry:
Birthday:
     

Main Conference Accommodations:

Accommodation Option
(pending availability)
Cost for five full nights Order of preference
(1-6 where 1 being highest and 6 lowest)
Shared room with private bath at the Hotel Gutkowski $405 per person
Single room with private bath at the Hotel Gutkowski $660
Shared room with private bath (where available) at the Residenza alla Giudecca $405 per person
Single room with private bath (where available) at the Residenza alla Giudecca $660
Shared room with private bath at the Hotel Roma $540 per person
Single room with private bath at the Hotel Roma $825
     

Post- Conference Accommodations:

SingleShared
If rooming with a traveling companion during the post-conference, let us know who they are:
Need separate beds? YesNo
If requesting roommate arrangements to be made by the Open Center for either pre, main or post-conferences, please let us know your:
Age:
Gender: MaleFemale
Smoker: YesNo
If not smoker, willing to share with smoker?:
Do you snore: YesNo
     

Conference Payment:

Check as many options as apply.  Full payment is required to register.  Please note that it will be possible to arrange for monthly automatic credit card payments to facilitate registration. Contact Andrea Lomanto at quest@opencenter.org or at +1-212-219-2527, ext. 101, to discuss payment plan options before registering.
 
*Please note that we can accept conference registration until Friday, April 17, 2013.
 
Pre-Conference Tour Registration: Mt. Etna - 12th of June 2013
With basic hotel in Ortigia
single accommodations: $600shared accommodations: $470 per person
OR with upgraded hotel in Ortigia
(if requesting an upgraded room for the main conference)
single accommodations: $625shared accommodations: $500 per person
Main Conference Registration: Ortigia – 13th - 18th of June 2013
by February 15, 2013: $2145by March 15, 2013: $2295by April 17, 2013: $2445
One night in Catania: 18th of June 2013 (optional)
(for participants returning home on early morning flights on the 19th of June)
With single accommodations: $135With shared accommodations (pending availability): $85 per person
Post-Conference Registration: Sicily – 18th – 23rd of June 2013
With single accommodations: $2155With shared accommodations: $1860 per person
Post-Conference Registration: Sicily with Extension – 18th – 25th of June 2013
With single accommodations: $2800With shared accommodations: $2275 per person
Post-Conference Registration: Malta and Gozo – 18th – 23rd of June 2013
With single accommodations: $2165With shared accommodations: $1795 per person
Post-Conference Malta and Gozo ONLY:
Meeting the Open Center in Malta – 18th – 23rd of June 2013
With single accommodations: $2115With shared accommodations: $1745 per person
     
Registration Total
Pre-Conference Tour of Mt. Etna $
Main Conference in Ortigia $
Main Conference Accommodations $
18th of June in Catania (optional) $
Post-Conference Journey through Sicily $
Post-Conference Trip to Malta and Gozo $
Total Amount $
   
Credit Card #:
Exp. Date: /
Check #:
  (made payable to the New York Open Center)
     

Refund Policy:

A full refund, less a $200 processing fee, will be offered for cancellations made before Friday, March 15, 2013.
     

Please check:

I am aware of my need to arrange for travel insurance in the event of any unforeseen circumstances taking place either before or during our travels.
     

Meal options:

 
Vegetarian (includes dairy and eggs)Fish and ChickenNon-vegetarian
Please indicate any special dietary concerns, which we will accommodate wherever possible:
     

How did you first hear about this conference?:

Postcard
Open Center catalog
Brochure (by mail or picked up where? )
Website (which one? )
Online Search
Friend (do you know how they found out? )
Facebook
Open Center E Newsletter
     

Conference Welcome Packet:

A welcome packet that includes information about your arrival in Catania, travel tips and paperwork to return to the Open Center will follow. Please let us know how you would like to receive this: EmailMail
     
Additional notes or comments:
  Please feel free to leave any additional notes or comments here. We will get back to you as soon as possible. Thank you for joining us!