Yoga In Bali
November 2008 Registration Form


____ Enclosed is a $350.00 deposit for 2 week tour 
    November 15 - 29, 2008 


____ Total cost: $3350.00
          Full payment due October 20, 2008 
      
         * Deposit due September 30, 2008  
         **$100 discount for deposits received before September 16, 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