Seitai Shinpo Seminar
10/21-10/23/2005

Registration

Name________________________________________________
Address______________________________________________
Phone (day) ____________________(evening)______________
Email ______________________________________________
 
 
I have attended a Sorimachi seminar before:          ____yes, ____no
I have attended a Sotai Ho seminar before:      ____yes, ____no
I am a vegetarian: ____yes, ____no
I would like to share a room at the seminar site: ___yes, ____no
(If your answer is Yes, then do not make your hotel room reservation. Kim will take care of it.)
 

Seminar fee:	Before 08/31/05	After 09/01/05
Seitai /Sotai Ho Both:	2 lunches $450	$480
Sunday Banquet fee:	$35	$35
Total	$____	$____

(The cost includes lunch buffets for Friday and Sunday.)
 
 
Mail your check with application form to:
Traditional Japanese Acupuncture Foundation
C/O Kim Gitzel
P.O.Box 6925, Hilo, Hawaii 96720
(No credit Card payment.)
 
kgitzel@hotmail.com or1-808-938-6007  for registration questions.

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