CHANTICLEER IN SONOMA CHORAL WORKSHOP JUNE 15-19, 2016 FEE PAYMENT Complete and return this form with your check. We will acknowledge receipt of your payment via email. Thank you. NAME ______________________________________________ EMAIL ____________________________________ FEES Enter the applicable amounts below. Make your check payable to Sonoma State University and mail to: Dr. Jenny Bent Sonoma State University 1801 East Cotati Avenue Rohnert Park, CA 94928 When paying by check, you may pay in full OR in three equal payments. If you wish to pay in full by credit card, contact Jenny Bent at chanticleerinsonoma@gmail.com PAYMENT – Postmarked by March 27, 2016 ____ Check enclosed for full payment ____ Check enclosed for first of three equal payments. Final installment postmarked by May 6, 2016 Your fees below Amount $475 Tuition/materials $500 General participant accommodation 4 nights – single (lodging, linens, parking, meals) $450 Student participant accommodation (full time college/university only) 4 nights – single (lodging, linens, parking, meals) $85 Participant extra nights - single (no meals) Circle June 14 and/or 19 $500 Guest accommodation - 4 nights – single (lodging, linens, parking, meals) Guest extra nights – single (no meals) Circle June 14 and/or 19 $85 Name of guest: $ ______________ Total Please keep a copy of this completed form for your records.