Yoga In Bali
November 2010 Registration Form
____ Enclosed is a $350.00 deposit for 2 week tour
November November 14 - 28, 2010
____ Total cost: $3350.00 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