Nikoria Info Form, Registration Form

1) Registration information form / 2) Add Item to Cart (select options) / 3) Secure payment page ( on PayPal )
Nikoria

Page 1 of 3: Pre-Registration Form (basic information)

Nikoria 2006 Hula Workshop

Please Fill out this Pre-Registration Form. This will reserve you a tentative space as a participant in this workshop, to be finalized upon payment.
The next page is the payment options page where you can send this information to PayPal when you add your selection to the cart. The next page also has instructions for non-PayPal payments.

First Name:

Last Name:

Performance Name:

Address:

City:

State:

Zip:

Phone:

Email:

Website URL:

Send: - and go to payment page

Options on Payment Page - ( next step )

2006 Nikoria Hula Workshop, Featuring Tina Eggert,
Oct. 28-29 (Sat.-Sun.), 2006
Early Registration Price (before Oct. 12, 2006)............... $ 120.00
(After Oct. 12, 2006)............... $ 130.00

2006 Nikoria Hula Workshop, Featuring Tina Eggert,
Oct. 28-29 (Sat.-Sun.), 2006
Including Workshop Video Notebook DVD
Early Registration Price (before Oct. 12, 2006)............... $ 149.00
(After Oct. 12, 2006)................. $ 159.00

Back to Hula Workshop Flyer Page
Back to Nikoria.com Home Page


First Name:
Last Name:
Performance Name:
Address:
City:
State:
Zip:
Phone:
Email:
Website URL:
Send:		- and go to payment page