Location: (Tucson, AZ or Santa Cruz, CA)_________________

Your Name: _____________________________________________________________

Address: _____________________________________________________________________

City: ____________________________________State:________ Zip: ________

Email: _________________________________________

Phone Numbers: ____________________________________

Amount of deposit enclosed: ____________

Check lodging choice: double occupancy:____________ single:___________

Please fill out this form and send to the sponsor of the workshop for which you are registering.

Thank you. Susan and Laurie