2015 The Miracle of Surprise (Advanced) Class Registration Form
Name:
Address:
City: State: Zip:
Phone:
Do You Require:
Tent Space @$15/night:
Yurt @$35/night:
Food Catering:
Vegetarian:
A Map:
List of Motels:
Class $475:
Class $450*(two weeks before class):
Food Catering (@$65):
Breakfast and Lunch (Sat & Sun)
Meals are GLUTEN FREE
and ORGANIC whever possible
Lodging:
Amount Paid Now:
* Class fee after 2 weeks prior is $475
Balance Due:

Important: There is a non-refundable deposit of $50 included in the class fee.
Food catering must be reserved and is also non-refudnable.

*We have made price adjustments due to the increase of costs absorbed
by Universal Cosara Temples and Castanieto Enterprises.*

>>please print this page<<
and fax to: 530-470-0529
or mail to:

Cosme Castanieto
17490 Lazy Dog Road
Nevada City, CA 95959

(530) 265-5486