Registration Form
Please fill out the form below.
Name First (required) Last (required) Email address (required) Street address: Address line 1 Address line 2 City Postal/Zip Code Country Phone Number
Registration for (check all you will attend)
June 16, 2012 New York Anugraha Darshan June 16, 2012 New York Anugraha Kriya June 17, 2012 New York Anugraha Darshan June 17, 2012 Los Angeles Anugraha Diksha June 23, 2012 Los Angeles Anugraha Darshan June 23, 2012 Los Angeles Anugraha Kriya June 24, 2012 Los Angeles Anugraha Darshan June 24, 2012 Los Angeles Anugraha Diksha
Questionnaire: How did you hear about us? Please indicate with a check mark if it was through any of the following:
Yoga Journal Vision Awareness LA Yoga Facebook Flyers Acquaintances Other