Susan
A. Matthews, M.S.
Shanti School of Internal Martial Arts
An Institute of Research and Education
Southwestern Colorado,
USA
970-903-5723 Contact
Susan
Please
complete the following form and print, when sending deposit by mail
to George Xu. Send remaining balance directly to China using the
information on the Registration and Fees Page. Email this page to
mail@susanamatthews.com
when sending the deposit using PayPal (select
right side of page, copy and paste into email then fill out).
George Xu
4309 Lincoln Way
San Francisco, CA 94122
Please complete
all fields. All information is confidential, just print
and mail to George or you can email information to
mail@susanamatthews.com
and to be contacted for updates.
Please provide the following contact information:
First Name
Last Name
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
E-mail
URL
Fees
Total Fees for you and your family
Payment submitted when sending this form.
Pay deposit now. Pay US$1200 before Dec.
15, 2009; pay remaining US$1200 balance by Sept. 1, 2010. You
will send all payments other than deposit via Western Union to
the Shanghai bank:
Zhuang, Rui Kang
Account #4039602-007000-900026648
Bank of China
Shanghai, Kang Ding Branch
Shanghai City, Jiang Ning Road, No 631
zip 200040
SWIFT: BKCH CN BJ 300