Workshop Registration Form {}
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 AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VI VA WA WV WI WY 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 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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