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<strong>Ring</strong> <strong>of</strong> <strong>Fire</strong><br />
July 14th & 15th, <strong>2012</strong><br />
The Palace Station<br />
Hotel & Casino<br />
Maha Guru<br />
Horacio Rodriguez<br />
Pembantu Guru<br />
Adrian Williams<br />
Bapak Willem<br />
DeThouars<br />
Guru<br />
Tim Lucas<br />
Guro Carlito<br />
Bonjoc Jr.<br />
Guru/Sifu<br />
Bernard Langan<br />
www.vdtring<strong>of</strong>fire.com<br />
or visit<br />
www.serak.com<br />
Las Vegas,<br />
Nevada<br />
Ustad Guru<br />
Dan Inosanto<br />
Hanshi<br />
Bruce Juchnik<br />
Maha Guru Pak<br />
Victor DeThouars<br />
Pembina Guru Ibu<br />
Jane DeThouars<br />
Two Days <strong>of</strong> comprehensive training with Ustad Guru Dan Inosanto, BaPak Willem<br />
DeThouars, Maha Guru Pak Victor DeThouars, Maha Guru Horacio Rodriguez,<br />
Guru/Sifu Bernard Langan, Hanshi Bruce Juchnik, Guro Carlito Bonjoc Jr.,<br />
Pembina Guru Ibu Jane DeThouars, Guru Tim Lucas & PEMBANTU Guru Adrian<br />
Williams in the science and traditions <strong>of</strong> the following martial arts: Pentjak Silat<br />
Serak, Kuntao DeThouars, Maphilindo Silat, Lacoste Kali, Serrada, Escrima,<br />
JKD, Kosho Shorei Kempo, Bagua, Tai Chi, Aikido, Kuntao Manpo, JuJutsu,<br />
and healing arts.<br />
more instructors to be announced...<br />
Palace Station Hotel & Casino 2411 West Sahara Ave. Las Vegas, NV 89102<br />
http://www.palacestation.com Phone (702)221-6678
<strong>Ring</strong> <strong>of</strong> <strong>Fire</strong> <strong>2012</strong><br />
July 14th & 15th, <strong>2012</strong><br />
The Palace Station Hotel & Casino - Las Vegas, NV<br />
Name: _______________________________________________<br />
Address: ________________________________________<br />
________________________________________<br />
City: __________________________________________<br />
State: ________________________ Zip: ______________<br />
Phone: ______________________________<br />
Cellular Phone: ______________________________<br />
Registration Form<br />
Pre-register by July 7th, <strong>2012</strong><br />
☐ 2-day seminar is $200 or ☐ $250 with Banquet Dinner<br />
After July 7th, the 2-day seminar cost is $225 or $275 with Banquet Dinner ☐ 1-day only $125.00<br />
☐ _____ additional banquet dinners $50 each<br />
The Palace Station Hotel & Casino 2411 West Sahara Avenue Las Vegas, NV 89102<br />
Hotel Reservations: (800) 634-3101 http://www.palacestation.com<br />
A block <strong>of</strong> discounted rooms have been reserved for participants when you mention “<strong>Ring</strong> <strong>of</strong> <strong>Fire</strong>”<br />
Pay by Credit Card: ☐ Visa / ☐ Mastercard<br />
Name on Card: _________________________________________<br />
Card #☐ ☐ ☐ ☐ - ☐ ☐ ☐ ☐ - ☐ ☐ ☐ ☐ - ☐ ☐ ☐ ☐<br />
Exp. Date: ☐ ☐ / ☐ ☐ 3 Digit Sec. Code: ☐ ☐ ☐<br />
Date: ______________________________<br />
Signature: _________________________________________________<br />
Email: ________________________________________________<br />
No. persons attending _________ Total Amt. Enclosed: $__________<br />
Make checks payable to: Horacio Rodriguez<br />
For more information email:<br />
Maha Guru Horacio Rodriguez<br />
rodseraksatu@yahoo.com<br />
!<br />
Mail this form along with your payment to:<br />
R.O.F. Processing<br />
Attn: Horacio Rodriguez<br />
4634 Gage Ave<br />
Bell, California 90201
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