Registration Form

CLICK on this LINK to Fill Up  Your REGISTRATION FORM

VOX MUNDI SCHOOL
4053 Harlan St, #202
Emeryville, CA 94608

Program Title:____________________________________________________

Date & Locations:_________________________________________________
Programs have limited capacity-Early registration is highly recommended

Name __________________________________________________________

Address _________________________________________________________

City _______________________________ State ______ Zip ______________

Phones _____________________________ Cell _________________________

E-mail ___________________________________________________________

Website _________________________________________________________

Occupation ______________________________________________________

How did you hear about The Vox Mundi School?_________________________
Please register me for the following event(s) :

Amount enclosed: $___________

Balance (if applicable) $ ___________

Type of accommodation is applicable:_____________________________
Make your check payable to Silvia Nakkach / Vox Mundi
Mail your registration or deposit fees to:
Silvia Nakkach
4053 Harlan St #202
Emeryville, CA 94608 – USA

Inquires:
Office: 510- 595 0819

~ If RETREATS or INTENSIVES:
TWO WEEKS PRIOR TO THE PROGRAM YOU WILL RECEIVE AN
E-MAIL WITH ALL THE INFORMATION YOU NEED TO ARRIVE
AND BE AT THE PROGRAM ~

OPTIONAL; include few lines with your background and intentions regarding the
workshop, seminar, retreat or training you will attend