Registration Form
Bali Vocal Masterclass Retreat with Seth Riggs and Margareta Svensson Riggs

Name

First Name

Last Name

Email Address of Contact Person

Phone Number of Contact Person

Please include country code if you are from outside Indonesia

Address of Contact Person

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Birth Date

MM

DD

YYYY

Gender (M/F)

Purpose for Attending

Hotel Room Request (please see Event Info link for details)

Special Dietary Requests (Halal, Vegetarian, Low Sugar, etc.)

Other Notes (Smoking/Non-Smoking, transport needs, etc.)

You can contact the registration team directly as well:

Ifan +62 813 2688 2064 or ifanshofyan@gmail.com
Indah +62 815 879 5356 or d_indah@yahoo.com