Iyengar Yoga in the Napa Valley
6 Day Iyengar Yoga Retreat
with Jaki Nett

Please print this Registration Form and complete and mail or FAX to us.
Our mailing address and FAX number are listed below.

• $600.00 for the 6 Day Iyengar Yoga Retreat
or
• $300.00 for Weekend only
• Add $50.00 to above costs for registrations after July 20th, 2012

• A
deposit of $200.00 US (for the 6 Day 6 Retreat)
• or a deposit of $100.00 for the Weekend portion
will hold your reservation,
with balance Due: July 25th, 2012
  Please Check Appropriate Box:
6 Day Iyengar Yoga Retreat — Aug. 10th - Aug. 15th, 20121
Weekend Iyengar Yoga Retreat — Aug. 10th - Aug. 12th, 2012
NAME: _________________________________________________________________
ADDRESS: _______________________________________________________________
CITY / STATE / ZIP : ______________________________________________________
COUNTRY : ______________________________________________________________
TO PAY BY
Visa logo
OR
MasterCard logo
  NAME (as it appears on card) : __________________________________
  BILLING ADDRESS : _________________________________________
  CITY / STATE / ZIP : __________________________________________
  COUNTRY : _________________________________________________
  CREDIT CARD TYPE ( VISA or MASTERCARD) : __________________
  CREDIT CARD # : ____________________________________________
  EXP. DATE : _________________________________________________
 
Please make check or money order payable to:
IYNV
1350 Community Drive
St. Helena, CA 94574
Cancellation Policy
Cancellation fee for 6 Day Retreat or Weekend portion: $75.00
For additional information please contact Jaki: jaki@iynv.com • 707-963-5625
© 2011 Iyengar Yoga in the Napa Valley. All rights reserved.