Yoga In Bali
February 2009 Registration Form


____ Enclosed is a $350.00 deposit for 2-week tour
     February 10 - 24, 2009

____ Total cost: $3350.00
         Full payment January 18, 2009  
      
         * deposit due December 31, 2008
         **$100 discount for deposits received before December 6, 2008

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