2015 Hawaii Yin Baguazhang Workshops Registration Yin ... Winter Reg Form.pdf · Hawaii Wushu...
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Hawaii Wushu Center Presents Yin Family Baguazhang 2015 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 #2 Nov 8 IDay Day #5 Nov 21 #6 Nov 22 #7 Dec 5 #8 Dec 6 Check Box Check Box Check Box Check Box Check Box Check Box #3 Nov 14 #4 Nov 15 Check Box Check Box Registration Fees Full Day #1 $150 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: 1 808 489 3921, 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 Half Day #2 $ 75 Full Day #3 $150 Half Day #4 $ 75 Full Day #5 $150 Half Day #6 $ 75 Input Input Input Input Input Discounts: All Days Discount = -$300 2 Full Days Discount = -$100 3 Full Days Discount = -$150 4 Full Days Discount = -$200 Family discounts are available. Contact us for details. To process a credit card by phone call (808) 457-5844 or Card Security Code Attend Everything for only $600 If you paid on line check here Full Day #7 $150 Input Input Half Day #8 $ 75
Transcript of 2015 Hawaii Yin Baguazhang Workshops Registration Yin ... Winter Reg Form.pdf · Hawaii Wushu...
Hawaii Wushu CenterPresents
Yin Family Baguazhang
2015 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 #2 Nov 8
IDay
Day
#5 Nov 21 #6 Nov 22 #7 Dec 5 #8 Dec 6
Check BoxCheck BoxCheck BoxCheck Box
Check Box Check Box
#3 Nov 14 #4 Nov 15
Check Box Check Box
Registration Fees
Full Day #1 $150
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: 1 808 489 3921, 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
Half Day #2 $ 75
Full Day #3 $150
Half Day #4 $ 75
Full Day #5 $150
Half Day #6 $ 75
Input
Input
Input
Input
Input
Discounts: All Days Discount = -$300 2 Full Days Discount = -$100 3 Full Days Discount = -$150 4 Full Days Discount = -$200Family discounts are available. Contact us for details.
To process a credit card by phone call (808) 457-5844
or
Card Security Code
Attend Everything for only $600
If youpaid online checkhere
Full Day #7 $150 Input
InputHalf Day #8 $ 75
