KUNDALINI ON THE NILE

Please fill out the form below. All major credit cards accepted.

Thank you for joining us on this journey. Please enter your information below. All payments are secured processed using secure encryption. Your information is safe and secure. A 3.5% CC processing fee has been added to your total. If paying by check, venmo, paypal, wire transfer or money order, please email us at [email protected] to arrange payment after you fill out this form.

Registration Options*

Double ($6,690.00)
Single ($8,650.00)

Name*

Email*

Phone Number*

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Address*

Total

$0.00

Do You have a roommate request?*

If so please write your roommates name here

Roommates are mostly paired up with similar as they identify..ie: man, woman, and self-identified. If we are uneven in this category does it make a difference to you if your roommate is a different gender than you how you identify.*

Emergency Contact (someone not traveling with you - Name/Relationship/Phone Number)*

Dietary requirements: Meals are vegetarian and vegan Please list any allergies to medicines and foods you may have -

How did you hear about us?*

Word of Mouth
instagram
Facebook
Web Search
Attended Previous Event
Other

Insurance*

KUNDALINI YATRAS INCORPORATED does not provide travel insurance, medical, or emergency evacuation and thus you are 100% responsible for these expenses. We strongly advise you purchase travel insurance as soon as possible because some insurance providers only guarantee certain benefits within a short time after you made this tour deposit.

I have read and agree to the terms above.

Billing Information

Name*

Payment Method

Credit Card
Wire Transfer/ Money Order/ Venmo/ Check/ Paypal

Credit Card*

Visa
Mastercard
American Express
Discover

Address*

Email*

Mobile Phone Number*

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

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