ADDITIONAL TRAVEL INFORMATION REQUEST FORM

Your Subtitle text

Oya, Greece

We are delighted that you are interested in exploring this opportunity further, and that you are thinking about joining us! For additional information, you may complete and submit the form below, and you will be contacted shortly according to your indicated preferences.

You may also contact the CENTER FOR AUTHENTIC LIVING directly by calling 845.337.6996.

And whether or not you choose to participate with us on one of our trips, we wish you a journey of your own that's filled with great peace, joy, and personal fulfillment.

Warmly,

JUDE SMITH

and

DR. KIMBERLY SPANJOL

Information Request Form

Dear Jude and Kimberly,
Yes! I love to travel. Spiritual journeys are as important to me as journeys around the world. I embrace living life fully and I desire being awake and present. And I would like to combine those passions through mindful overseas travel with like-minded others.

I understand that space is very limited on these highly personalized trips, so please contact me as soon as possible with the additional information I need to finalize my decision.

First Name:
Last Name:
City:
State or Province:
Email Address:
Phone Number:
		Home
		Cell
		Work
I Prefer to be contacted by:		Email
		Phone
If phone, best time to reach me:
How did you hear about this trip?:
What additional information may we provide for you?: