John Cang Photography

Workshop Registration Form
(Please print out form, complete, and mail with deposit to reserve your space.)

Sign me up for Canadian Rockies Landscape and Wildlife (July 21-29, 2006)

Workshop Fee: US$2495.
Enclosed is my deposit of $300.


Please make check payable to John Cang at 3209 Heritage Point Ct., San Jose, CA 95148.
Balance is due 60 days prior to departure.

Name: ______________________________________________________

Address: ____________________________________________________

              ______________________________________________________

Phone: ______________________________    Email: ____________________________

In case of emergency please notify:

Name:_______________________________________  Relation:___________________

Address:_________________________________________________________________

Phone:______________________________

SMOKING IN THE VICINITY OF THE GROUP IS NOT PERMITTED.


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