Yoga In Bali
July 2017 Registration Form


____ Enclosed is a $350.00 deposit for 12 day/11 night retreat package
July 13 - 24, 2017 ____ Total cost: $2550.00 full package without airfare Full payment due June 12, 2017 * Deposit due May 13, 2017 **$100 discount for deposits received before April 14, 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