Yoga In Bali
February 2011 Registration Form


____ Enclosed is a $350.00 deposit for 2-week tour
     February 9 - 23, 2011
     
____ Total cost: $3350.00 full package including international airfare from/to USA
____ Total cost: $2250.00 full package without airfare

Full payment due December 31, 2010 - for all participants with airfare included
Full payment due January 16, 2011 - for participants providing their own airfare * deposit due December 31, 2010 **$100 discount for deposits received before December 6, 2010 Name __________________________________________________ Address _______________________________________________ Home phone ____________________________________________ Business Phone ________________________________________ Email Address ________________________________________ Date of Birth _________________________________________ Special Interest ______________________________________ MAIL TO: Ann Barros 341 26th Avenue Santa Cruz, CA 95062 (831) 475-8738 Phone (831) 475-8738 FAX email Ann at abarros@pacbell.net