Registration Form
The Sufi Way of Beauty
April 20-22, 2007

Name ______________________________
Street ______________________________
City ______________________________
Province/State ______________________________
Postal/ZIP code ______________________________
Phone ______________________________
Email ______________________________

[  ] I am ONLY attending the Dances of Universal Peace ($15)
[  ] I am registering at the early-bird rate (before March 28th).
[  ] I can offer carpooling.
[  ] I am seeking a ride.
[  ] I (need / can provide) billeting.
[  ] I can come early Friday to help set up.
[  ] I can stay Sunday afternoon to help clean up.
[  ] I have special needs (diet, health, etc.), as described below:
________________________________________
________________________________________
________________________________________

Please enclose a check made out to "Neil Rothenberg" for 
$125 (Canadian dollars) if submitted before March 28th, or 
$150 afterward ($110/$135 in U.S. dollars).

Please send this completed registration form and payment to:
  Amina Berketa
  1646 Bathurst Ave. #7
  Toronto, ON  M5P 3J7
  Canada