Arabic Rhythms Workshop
Registration Form

Name:_______________________________________________________

Address:_____________________________________________________

Telephone: (work)______________________________
(home)______________________________

Email:____________________________________________

____$25 prepaid by October 19^th, 2002

____$30 paid after October 19^th, 2002

Please note that to receive the reduced rate, your registration must be postmarked by Saturday October 19^th, 2002.

Checks accepted on or before October 19^th. After October 19^th, cash or money order only.

Please make your check payable to Amara and mail to P.O. Box 3975, Gaithersburg, MD 20885.

Arabic Rhythms WorkshopRegistration Form