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