FLORIDA KEYS REGISTRATION
| Please email minakshiwatsu@comcast.net first to see that space is available, then send this form with a deposit of $200. The
tuition price does not
include accommodation. to be paid in full first day of course.
Please enclose a non-refundable deposit of $200.00 for each course. If notified at least 2 weeeks in advance, this credit is transferable once (less a $50 processing fee) for one year from the date of class cancelled. Please
write check (sorry, no credit cards) payable to |
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Name Address City State, Zip Phone (H) e:mail
Profession |
____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________
____________________________________ |
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Please list your choice of course and dates: ------------------------------------------------------ ----------------------------------------------------- Arrival date: Time: ------------------------------------------------------ Departure date: Time: ------------------------------------------------------ Please circle below if you would like to share accommodations Yes No Please circle your method of arrival shuttle
car |