Yoga In Bali
February 2018 Registration Form


____ Enclosed is a $350.00 deposit for 12 day/11 night retreat package
February 10 - 21, 2018 ____ Total cost: $2450.00 full package without airfare Full payment due January 16, 2018
* deposit due December 31, 2017 **$100 discount for deposits received before December 6, 2017 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 email Ann at abarros@pacbell.net