Ubuntu Humanity Women's Vision Quest

Monday, June 16 — Saturday, June 21, 2008 (three nights)

Cost:: $650

Deposit: $200 by May 1st, 2008 (balance to be paid by June 1st, 2008).

• Name:____________________________________
• Address: __________________________________
• City:___________________State____Zip________
• Telephone:________________________________
• E-Mail:____________________________________
• Emergency Contact:_________________________
• My Deposit is enclosed: Check #_______PaylPal_____(please check one)

Please make Checks payable to: Antonia Creazzo, 816 York Street Oakland, CA 94610