Bali Trip Registration January 2017

Transcription

1 Bali Trip Registration January 2017 Wellness Advocate Account Wellness Advocate ID: I am a Guest Bali Trip Participation Fees Adult Participation Fee + Flight Ticket Adult Participation Fee Children's (<12yrs) Participation Fee + Flight Ticket Children's (<12yrs) Participation Fee SGD1,760 SGD1,205 SGD1,500 SGD1,000 I would like to pay to participate in the Bali Trip Adult Participation Fee + Flight Ticket SGD1,760 Adult Participation Fee (Flight on own) SGD1,205 Children s Participation Fee + Flight Ticket SGD1,430 Children s Participation Fee (Flight on own) SGD1,000 *Note: all prices above are based on a double-occupancy rate. Please refer to the Accommodations section to specify a roommate, if applicable. Flight ticket purchases above are not inclusive of travel insurance. Attendees will be liable for their own travel insurance. I am a Qualified Winner of the Bali Trip. My ticket subsidy is: 100% Subsidy Winner of Level 1 Prize and above (120+ Points) 80% Subsidy Winner of Level 2 Prize (100+ Points) 50% Subsidy Winner of Level 3 Prize (80+ Points) IMPORTANT please note that the deadline to register and make payment is 09 December Kindly make payment for the current prize tier that you have qualified for. If you qualify for a higher prize tier after registration, the company will be happy to reimburse you the balanced owed based on the new subsidy rate that you have qualified for. Personal Particulars Family Given NRIC: Date of Birth: Mobile No.: Address: Passport No.: Nationality: Passport Expiry Date: Please submit a copy of your Passport upon registration

2 Accommodations I authorize the company to pair me with another attendee of the same gender I would like to share rooms with the below attendee Wellness Advocate ID: Passport No.: Twin Bed (Single Bed x 2) Double Bed (Queen Size Bed) I would like to bring along my child and share room with him / her. Age: Passport No.: Nationality: Passport Expiry Date: I would like to opt for my own single occupancy room (subject to additional charge of SGD443) I have special dietary restrictions Vegetarian No Beef Halal Flight I would like to arrange for my own flight to Bali (airport transfers will be arranged on own) I would like to fly using the company-arranged flights (airport transfers in Bali will be arranged by the company) Flight from Singapore (SIN) via Changi Terminal 2 Flight from Malaysia, Kuala Lumpur (KUL) via KLIA Emergency Contact Relationship: Address: Contact No.:

3 Choice Of Excursion 11 January 2017 (Excursions Available for the Whole Day) Excursion Code Excursion Name Cost 1 st Choice 2 nd Choice 3 rd Choice Details are available in the Appendix Section of this registration form and are booked on a first-comefirst-served basis. Payment Details Payment by Credit Card AR Balance Cash Name of Cardholder: Credit Card Number: _ Expiry Date (mm/yyyy): CVV: Signature: Terms and Conditions Please review and acknowledge all of the below prior to signing. I hereby certify that all information provide above is accurate and hereby authorize dōterra Singapore to use my personal particulars for the purposes of attending the incentive trip. I will not hold dōterra Singapore liable for any additional costs associated with any errors in my registration form. I have attached a copy of my Passport with this registration. Attendee Signature: For internal use only: RB: DS: COM: PYMT:

4 Bali Trip Information January 2017 Below is our most updated program for the Bali Trip. (note that final program in January may be subject to change) Day 1 10 January 2017 Day 2 11 January 2017 Program Details Day 3 12 January 2017 Day 4 13 January 2017 Day 5 14 January 2017 Breakfast Breakfast at Hotel Breakfast at Hotel Breakfast at Hotel Breakfast at Hotel Morning Departure Free & Easy Conference Conference Free & Easy Selection of Optional Tours Lunch Lunch on Plane Free & Easy Lunch Buffet Lunch Buffet Free & Easy Afternoon Arrival at Bali Check-in Grand Hyatt Hotel Free & Easy Selection of Optional Tours Conference Conference Check-Out Grand Hyatt Hotel Depart for Airport Dinner Welcome Dinner Free & Easy Hotel Dinner Voucher Farewell Dinner Flight Details We are pleased to offer you the following flight options from your home city to Bali. These tickets are discounted from their original price for your convenience. Please indicate your interest in the registration form. Arrival Flight 10 January 2017 Departure Flight 14 January 2017 Singapore-Based Attendees SQ 942 Singapore (SIN) Bali (DPS) SQ 943 Bali (DPS) Singapore (SIN) Malaysia-Based Attendees SQ5319 KL (KUL) Singapore (SIN) SQ 942 Singapore (SIN) Bali (DPS) SQ943 Bali (DPS) Singapore (SIN) SQ 118 Singapore (SIN) KL (KUL) Hotel Details GRAND HYATT BALI Address: Kawasan Wisata Nusa Dua BTDC, Nusa Dua, Bali, Indonesia Tel: Fax: bali.grand@hyatt.com Web:

5 Excursion Options Code Name Duration Price (SGD/PAX) Meals Bali Heart MGDTRBLAF01 You and Me Full Day SGD96 SGD96 L MGDTRBLAF02 Blue Dream Full Day SGD161 SGD161 L MGDTRBLAH03 Uluwatu Half Day SGD172 SGD172 D MGDTRBLAH04 Waterbom Bali Water Park Adult Child Half Day SGD109 SGD92 NA MGDTRBLAH05 Passion Half Day SGD90 SGD90 NA Bali Infatuation MGDTRBLBF06 Rainforest Full Day SGD221 SGD193 L MGDTRBLBH07 Perception Half Day SGD144 SGD126 L MGDTRBLBH08 Summer Cool Half Day SGD69 SGD69 NA MGDTRBLBH09 The Banjar Spa Time Slot SGD93 NA NA MGDTRBLBH10 Zen Spa Time Slot SGD101 NA NA Bali Indulgence MGDTRBLCF11 Blue Secret Full Day SGD277 SGD277 L MGDTRBLCH12 MGDTRBLCH12 MGDTRBLCH13 MGDTRBLCH14 MGDTRBLCH15 MGDTRBLCH16 Dancing with Dolphins (Play) Dancing with Dolphins (View) Nostalgia Seminyak (Mirror) Nostalgia Seminyak (Flower) Nostalgia Seminyak (Water) Nostalgia Seminyak (Moon) Half Day SGD172 SGD172 NA Half Day SGD110 SGD110 NA Half Day SGD234 SGD234 D Half Day SGD234 NA D Half Day SGD216 NA D Half Day SGD215 NA D Airport Transfers MGDTRBLET19 Deluxe Van SGD67 NA MGDTRBLET20 Mini Bus SGD90 NA For more details, please follow these links: