Registration Form

Name: ___________________________________________________
Address: _________________________________________________
________________________________________________________
Phone (hm) _______________________________________________
          (wk) _______________________________________________
e-mail: ___________________________________________________
Birthdate: ________________________________________________

Tuition  including all group classes, private concerts, outings, roundtrip airfare to Delhi, room- double occupancy (private rooms are available for an additional $325 on a space-available basis),  meals & gratuities .......$3250  

Enclosed is a non-refundable deposit of $300 to reserve my place. I understand that $1500 is due Dec 10 and the balance of  $1450 is due by Jan 10, 2001. 

In order to protect yourself if you need to cancel, trip insurance is available for $175. 

Please mail your registration and make checks to:

Chisti Sabri School of Music
Shabda Kahn,
304 Devon Drive
San Rafael, CA
94903

info:415-499-1778       e-mail:thanka@aol.com

visit our website: http://www.terryriley.com/india