Workshop Registration Form
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To confirm your registration please: Read the Registration Terms - Filled in this form - Print, Sign and mail the form to the address below.

Attendee Information

 

Name

 

Address

 

 

City

State Zip

 

Phone(s)

Alternate
If you would like us to call you, please include your time zone and best time to call in the comments.

 

Email

 

Workshop

Workshop Date

Workshop Fee Calculation

Workshop Fee = 

$ (1)

Enter the workshop fee here less any discounts and explain in the comments.

Additional services + 

$ (2)

Enter the total amount for additional services here and explain in the comments.

Total Amount Due = 

$ (3)

Enter the total price of (1) plus (2).

Payments - 

$ (4)

If you are paying less than eight weeks before the workshop date, enter the Total Amount Due in (3). Otherwise, enter $500.

Remainder Due =

$

Enter the value in (3) minus the value in (4).

Method of payment:

Bank Wire        Check       Credit Card       

Comments

form or to check required fields are filled then sign and mail with payment.

I have read and agree to the Registration Terms.

_____________________________________ ___________________

Authorized Signature

Date

Please make check payable to:

Sojourn In Italy

 

Mail to:

Sojourn In Italy
P.O. Box 30130
Santa Barbara, CA 93130

 

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