2014 Hawaii Yin Baguazhang Workshops Registration Yin ... Winter Reg Form.pdf · Hawaii Wushu...
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Hawaii Wushu Center Presents Yin Family Baguazhang 2014 Hawaii Yin Baguazhang Workshops Registration Participant's Personal Information Name Address Phone State/Other Country Zip/Postal Code Email www.yinbaguazhang.com www.hawaiiwushucenter.org City Age Workshop Selection Check mark the workshops you would like to attend. #1 Nov 7-9 #2 Dec 5-7 International Local #3 Nov 22 #4 Dec 20 #5 Dec 27 #6 Jan 3 Check Box Check Box Check Box Check Box Check Box Check Box Registration Fees International #1 $450 Total Due Payment Check (Payable to "Hawaii Wushu Center") Mail to address below Credit Card Card Number Expiration Date (MM/YY) Cardholder Name Hawaii Wushu Center, 1707 Alencastre St., Honolulu, HI 96816 USA, Phone: 1 808 737 8788, Email: [email protected], Website: www.yinbaguazhang.com Please contact us if you have any questions. We will mail or email you your registration confirmation. Subtotal Discount (calculate and input) Input International #2 $450 Local #3 $150 Local #4 $150 Local #5 $150 Local #6 $150 Input Input Input Input Input Discounts: Student discounts are available, please contact us for details International Workshop #1 + #2 Discount = -$300.00 Any International + any Local: Discount = -$200.00 More than one Local: Discount = $-50 for each local Family discounts are available. Contact us for details. To process a credit card by phone call (808) 457-5844 or
Transcript of 2014 Hawaii Yin Baguazhang Workshops Registration Yin ... Winter Reg Form.pdf · Hawaii Wushu...
Hawaii Wushu CenterPresents
Yin Family Baguazhang
2014 Hawaii Yin Baguazhang Workshops Registration
Participant's Personal Information
Name
Address
Phone
State/Other
Country
Zip/Postal Code
www.yinbaguazhang.com www.hawaiiwushucenter.org
City
Age
Workshop SelectionCheck mark the workshops you would like to attend.
#1 Nov 7-9 #2 Dec 5-7
International
Local
#3 Nov 22 #4 Dec 20 #5 Dec 27 #6 Jan 3
Check BoxCheck BoxCheck BoxCheck Box
Check Box Check Box
Registration Fees
International #1 $450
Total Due
PaymentCheck (Payable to "Hawaii Wushu Center")Mail to address below
Credit Card
Card Number
Expiration Date (MM/YY)
Cardholder Name
Hawaii Wushu Center, 1707 Alencastre St., Honolulu, HI 96816 USA, Phone: 1 808 737 8788, Email: [email protected], Website: www.yinbaguazhang.com
Please contact us if you have any questions. We will mail or email you your registration confirmation.
Subtotal
Discount (calculate and input)
Input
International #2 $450
Local #3 $150
Local #4 $150
Local #5 $150
Local #6 $150
Input
Input
Input
Input
Input
Discounts:Student discounts are available, please contact us for detailsInternational Workshop #1 + #2 Discount = -$300.00Any International + any Local: Discount = -$200.00More than one Local: Discount = $-50 for each localFamily discounts are available. Contact us for details.
To process a credit card by phone call (808) 457-5844
or
