Yoga In Bali
November 2010 Registration Form


____ Enclosed is a $350.00 deposit for 2 week tour 
    November November 14 - 28, 2010 


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

          Full payment due October 18, 2010 
      
         * Deposit due September 30, 2010  
         **$100 discount for deposits received before September 10, 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