Must be paid before registration will be confirmed. 

PLEASE PRINT CLEARY
Name(s) of Participant(s)                                Phone Number                 Fax Number              1st workshop?

__________________________________   __________________   _________________   __________

__________________________________   __________________   _________________   __________

__________________________________   __________________   _________________   __________

__________________________________   __________________   _________________   __________

__________________________________   __________________   _________________   __________

__________________________________   __________________   _________________   __________

Band/Company/Organization______________________________________________________________

Address _____________________________________________________________________________

City/Town ____________________________  Province_____________ Postal Code___________

Contact Person________________________ Phone number________________ Fax________________

COST
$385.00         X         _____(#of people attending (4 or less) =   __________Subtotal

$345.00         X         _____(#of people attending (5 or more) = __________Subtotal

                                                                                                $__________ TOTAL
 

                    All cheques or money orders payable to:

Four Worlds International Institute         Telephone (403) 320-7144
                    347 Fairmont Blvd.                                      Fax (403) 329-8383
                    Lethbridge, AB  T1K 7J8                            E-mail:  [email protected]