MBIRA CAMP ENROLLMENT FORM
| Name | ___________________________________________________ |
| Address | ___________________________________________________ |
| City/State/Zip | ___________________________________________________ |
| Country | ___________________________________________________ |
| Phone (Day) | ___________________________________________________ |
| Phone (Night) | ___________________________________________________ |
| Fax | ___________________________________________________ |
| ___________________________________________________ | |
| Preferred session? | |
 Summer Session 1: 12-19 July 2008 |
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| Summer Session 2: 26 July - 2 August 2008 |
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| Summer Session 3: 9-16 August 2008 |
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| Argentina Session: 19-26 April 2008 |
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| Playing level? | First Time |
| Beginning |
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| Intermediate |
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| Advanced |
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Please enclose your $400 deposit or full fee ($800) or early enrollment full fee ($750 if fee paid in full by April 1st, or February 1st for Argentina). ***Enrollment form without deposit does not save your space. Make out check or money order payable in US$ to MBIRA and send with this form to MBIRA, Box 7863, Berkeley, CA 94707-0863, USA. Payment is non-refundable unless a student on the waiting list is able to take your place (usually not possible for late cancellations).
***Contact us regarding much lower fee for residents of South America (ONLY) attending the Argentina Mbira Camp
For more info, call Erica at (510) 548-6053 or email camp@mbira.org