REGISTRATION
*
Please print this form and mail it, or send the information by email . |
| Name |
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| Adult? |
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M or F ? |
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| Address |
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| City |
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State/Province |
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| E-mail |
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Telephone |
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Desired Accommodation
(shade box at right) |
| Private |
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| Double Occupancy shared with: |
. |
| . |
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| Meals, Workshops, & Events |
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| Workshops & Events |
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Meals
(shade box at right) |
| Vegetarian |
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| Kosher ($30 extra) |
. |
| My plan does not cover meals. I wish to purchase: |
| _____ lunch/dinners
_____ breakfasts |
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| Do you plan to take the beginner's classes? |
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| * Reserve your attendance by mailing $50 US or $65 CDN to Danse Montréal before Thursday June 5 2003. Remaining balance is payable on June 20.
** Danse Montréal will grant full refunds until Friday June 6. Cancellations after this date but before June 20 will be charged $50 US. Cancellations on June 20 or after are not refundable. All cancellations must be in writing.
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