Yoga In Bali
July 2012 Registration Form


____ Enclosed is a $350.00 deposit for 2-week tour
      July 12 - 26, 2012 

____ Total cost: $3550.00 full package including international airfare from/to USA
____ Total cost: $2250.00 full package without airfare

         Full payment due June 10, 2012
      
         * Deposit due May 12, 2012
         **$100 discount for deposits received before April 12, 2012!

Name __________________________________________________

Address _______________________________________________

Home phone ____________________________________________

Business Phone ________________________________________

Email Address  ________________________________________

Date of Birth _________________________________________

Special Interest ______________________________________

Yoga experience________________________________________

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