Registration Page

Please remember to submit this form using the submit form button, if you are planning to attend this workshop.

If you have any questions please contact the workshop producer at dialectsandvoice@yahoo.com or call at (818) 319-2740.

Payment Options Available Upon Request.

Personal Information

Participants Name:
	Male Female
Title:
Organization:
Street Address:
City:
State/Province:
Zip/Postal Code:
Country:
Home Number:
Cell Number:
Work Number:
Email Address:

Workshop Costs

Select all of the following options that apply:

	$1150 Movement Methods Workshop Includes: Three 2 day workshops, 7 night stay (four bedroom, two bath suits) for duration of workshop.
	$400 Deposit due at Registration (Balance Due: on or before April 25, 2011)
	$50 discount for VASTA or ATHE members. Not applicable to the deposit and only one discount per person.
	$700 Workshop Only (no housing)

Total Amount Enclosed:
Remaining Balance:

Roommate Preference Name:
	If no preference is indicated you will be paired with same gender. Roommate not guaranteed based on the order of sign up.

Method of Payment

Select all of the following options that apply:

Check or Money Order (US currency only) Make check/money order payable to: Methods Workshops

NOTE: After May 16, 2011 only money orders, cashiers checks and credit card will be accepted for payments.

Send to: Workshop Producer
Methods Workshops
827 N. Hollywood Way #544
Burbank, CA 91505

Visa, Mastercard and American Express

U.S. Currency Credit Card Additional 3.5%

Foreign Currency Credit Card Additional 4%

NOTE: Must include email address for this option. A bill from PayPal (taken from total amount enclosed plus additional fee) will be emailed to you shortly after receiving this form. Follow instruction in email.

Miscellaneous

Questions or Comments:
Current Date:	(mm/dd/yyyy)

Cancellation Policy

Due to logistics the spaces and especially housing for this workshop are limited. A $400 deposit is required to hold your participation in the workshop. You must submit the registration page and either mail your check or pay online with PayPal. A full refund is available until April 1, 2011 minus a $25 application fee and any credit card fees if applicable.

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