General Information | Pricing and Payment | Registration Form
Use this form to register for the 2004 New York Shakuhachi Festival (payment is not necessary to register). Please provide your registration information and press the submit button to send it. You will receive a confirmation from the event coordinator within 1-3 days.
 Registration Form  2004 New York Shakuhachi Festival  
General Information * please don't skip 

e-mail Address

   *  

First Name

   *  
Last Name    *  
Street Address    *  

Street Address Cont'd

    

City

   *  

State

   *  

or   Province

    

Postal Code

    

Country

   *  

 

 

Phone

   *  

Alternate Phone

    

Fax

    
Spousal Registration   (Only applies if you are registering your non-shakuhachi-playing spouse.)  
Spouse Name      
Days Attending   (uncheck any days not attending)  
  July 29, 2004
July 30, 2004
July 31, 2004
August 1, 2004
 
Accommodation Choice   (choose one)  
  Local area hotel/other - on my own
Reserve dormitory room (no air-conditioner)

 
Payment Method   (choose one)  
 

PayPal or check paid by July 21, 2004
Cash paid before or at the door

 
Comments   (enter free-form text)  


Use this section to tell
us the name of your
room-mate, or to
provide other
information

   
 
   
   
 
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