Lino Miele Workshop Registration Form

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LINO MIELE 2008 WORKSHOP REGISTRATION FORM Pre-registration officially closes at 9am Monday, April 21st. After that, email info@ashtanga.com to do drop-in on a space-available basis. Reservations are first-come, first-served, and non-assignable. Full payment is due at the time of registration. Refund policy: 50% refund for cancellations in the two weeks prior; no refunds once the workshop starts. Mail this form to Ashtanga.com Workshops, 348 East Middlefield Rd, Mountain View, CA 94043, USA; or fax to 650-934-3234. Inquiries please email info@ashtanga.com. BILLING ADDRESS
Name
Address

City	State Zip
Phone Number
Email Address (for confirmation/updates)
CLASS SELECTIONS (updated 24 April 2008) For Mysore classes, CIRCLE your first choice start time and we will try to accommodate as best as possible.
$40 Mysore - Tues 4/22/08, 6:15am-9:15am. Available start times: 6.15am, 6:30am, 6:45am
$40 Mysore - Wed 4/23/08, 6:15am-9:15am. Available start times: 6:15am, 6:30am, 6:45am
$40 Mysore - Thurs 4/24/08, 6:15am-9:15am. Available start times: 6.15am, 6:30am, 6:45am
$40 Mysore - Fri 4/25/08, 6:15am-9:15am. Available start times: 6:15am, 6:30am
$40 Full Vinyasa - Sat 4/26/08, 9:30am-11:30am
$40 Mysore - Sun 4/27/08, 7:00am-9:45am. Available start times: 7:00am, 7:15am, 7:45am
$60 Technique & Adjustments - Sat 4/26/08, 1:30pm-4:30pm
Grand Total
METHOD OF PAYMENT
Credit Card Check/Money Order payable to "Ashtanga.com"
Cardholder Name
Credit Card Number
Expiration Date
Signature
Notes