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