REGISTRATION FORM
To register by mail, print this form, fill out completely (please print legibly) and mail with fee to:

YOGA MENDOCINO 206A Mason Street Ukiah, CA 95482 707/462-2580

Name
 -
Address
 -
City, State, Zip
 -
Phone
 -
Email
 -
Change of Address? -
How did you hear about us? -
Would you prefer our brochure sent via mail or email? -
CLASSES/WORKSHOPS YOU ARE SIGNING UP FOR
date and time
course title
fee
 1)  -
 $
 2)  -
 $
 3)  -
 $
-  TOTAL CLASS/WORKSHOP FEES
$
TOTAL ENCLOSED
$
CHECK____ CREDIT CARD____
Credit Card Info: Visa _____ Mastercard _____
Credit Card # ___________________________ Exp. Date _______
Signature ______________________________

There is a 15% administrative fee deducted from all refunds.
No refunds after first week of classes.
No refunds after 2 weeks prior to workshop date.

PASSES
I acknowledge that passes are good only where space is available.
I understand that there is no card-sharing, transfers, refunds or extensions.

Signed:_____________________________ Date:____________

Thank you for registering. We look forward to seeing you!