MBIRA CAMP ENROLLMENT FORM
| Name | ___________________________________________________ |
| Address | ___________________________________________________ |
| City/State/Zip | ___________________________________________________ |
| Country | ___________________________________________________ |
| Phone (Day) | ___________________________________________________ |
| Phone (Night) | ___________________________________________________ |
| Fax | ___________________________________________________ |
| ___________________________________________________ | |
| Preferred session? | |
 Argentina Session: 16 - 23 April 2011 |
|
| Berkeley Summer Session 1: 10 - 17 July 2010 |
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| Berkeley Summer Session 2: 24 - 31 July 2010 |
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| Berkeley Summer Session 3: 7 - 14 August 2010 |
|
| Playing level? | First Time |
| Beginning |
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| Intermediate |
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| Advanced |
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All Sessions: Please enclose your $400 non-refundable deposit or $800 full fee. Discount for Session 1 only: $750 full fee, $375 for 4 days (specify which days). You may also sign up for half-camp (1st or last 4 days) for Sessions 2 and 3 for $400.
Enrollment form without deposit does not save your space. Make out check or money order payable in US$ to MBIRA and send with this form to MBIRA, Box 7863, Berkeley, CA 94707-0863, USA. ***YOU CAN NOW PAY FOR CAMP THROUGH ONLINE BANKING TO THIS SAME NAME AND ADDRESS - IN THE US ONLY THIS IS FREE!- put your name as the "account number" and the camp session you will attend in the notes.***
You can pay by wire transfer from outside the US, but you will have to pay the wire fee, and the $15 fee our bank charges to receive it. There is a additional 5% processing fee if you pay through Paypal to MBIRA (erica@mbira.org). Payment is non-refundable unless a student on the waiting list is able to take your place (usually not possible for late cancellations).
For more info, call Erica at (510) 548-6053 or email camp@mbira.org