Anir Experience - Program Deposit Form
After receiving your deposit, we will email you a full registration form, additional
information, and instructions.
Make checks or money order out to: Anir Foundation and mail to:
Anir Foundation 1297, Dark Hollow Road, Alderson, WV 24910.
anirexp@gmail.com
If you would like to use a credit card (we accept all major USA credit cards) we
can email you a form. Please note there is a 4% additional bank charge. If you
wish to use Venmo there is a 2% service charge. We do not accept PayPal.
Check which Program You wish to sign up for:
15-day____Cape Town Community participation May 16 – 31, 2024 - $3958 per-person, for two persons
sharing, if single room $4058 per-person.
10-day____Cape Town Cultural program May 16-25, 2024 - $3390 for two persons sharing, if single room
$3640.
___ Add-on Full-day Safari (scheduled the day after the end of your Cape Town Experience) includes
transportation to and from safari park, lunch and game drives.
Deposit - $500, due with this form, fully refundable until January 31, 2024. No refunds, for
any reason, after January 31, 2024.
Full payment due February 10, 2024 (deposit is deducted from full cost). Payment after
February 15 will reflect a $200 USD increase.
Please Print Legibly
Name First ________________________________________ Middle or Maiden _______________________________
Name Last ________________________________________ Preferred Name________________________________
Date of birth ___________________________________
Day Phone _________________________________ Evening Phone ______________________________
Cell _______________________________________ E-mail _____________________________________