Shakuahchi Flute in Japanese
 

Please print out and mail this registration form. Payment can  be cheque or Paypal.

Full registration fee is CAN$450.00. Paypal payments are CAN$455.00. Please make cheques payable to Alcvin Ramos and endeavor to get payment to us by April 27, 2007.

Name:

____________________________________Sex: M___ F___

 

Mailing Address:

_________________________________________________

_________________________________________________

Email:

_________________________________________________

Phone Day):__________________ Evening: ______________

Accomodation Style:

Monastery_______(dormitory style only)

 

Single_____ Dbl_____ Triple_____ B&B_____ Hotel_____

 

Camping____ Yurt_____ Camping_____  RV_____

 

Arrival Date: ___________ Departure Date: _________

 

Dietary Preference:

Ominvore_____ Vegan_____ Vegetarian_____

Please specify which foods you may be allergic to:

___________________________________________________

___________________________________________________

 

Tuition by cheque:_________CAN$450

Tuition by Paypal:_________CAN$455

# of bamboo blanks (please specify length and size):____________CAN$200-$300  each (depending on stock available)

 

Total Paid (indicate cheque or Paypal)____________________

 

Paypal address for paypal payments: ramos@dccnet.com

 

Please mail cheque and registration form to:

Alcvin Ramos

S9-C3 Madeira Park, BC, Canada

V0N 2H0