George Xu
2018 Intensive Training Camp
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 Registration Information

Please complete the following form, print, then send payment by mail:
George Xu
4309 Lincoln Way
San Francisco, CA 94122

For information call George (415) 664- 4578 or write     mail@susanamatthews.com 

Please complete all fields.

Please provide the following contact information:

First Name:__________________________________________________________

Last Name:__________________________________________________________

Organization:_________________________________________________________

Street Address:_______________________________________________________

Address (cont.):_______________________________________________________

City:________________________________________________________________

State/Province:________________________________________________________

Country:_____________________________________________________________

Contact Phone:________________________________________________________

Email:_______________________________________________________________

URL:________________________________________________________________

Registration Fee

$680 includes room, board and camp t-shirt send $100 non-refundable deposit by June 1
remainder due by July 15

Select: Camp T-shirt    ___Small   ___Medium   ___Large   ___XL 

Questions or special concerns?