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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
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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