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Discover the many benefits of learning this beautiful dance! In this class, we will work together to Develop Poise,
MONDAYS 8 WEEKS $120 Each *TAKE BOTH $200 *Both Sessions Available to Intermediate Students Only |
| REGISTRATION FORM – BELLY DANCE MONDAYS
6:00 & 6:45 NAME _____________________________ 6:00 CLASS $120 ______ ADDRESS___________________________ 6:45 CLASS $120 ______ _____________________________ * BOTH CLASSES $200 _______ PHONE_____________________________email__________________________ TUITION $___ PAY CASH_____ CHECK #_______ to: P.L. BALLROOM DANCE
VISA___MC___ #_______________________________EX DATE____________ SIGNATURE_____________________________________Date Paid__________ Classes 1)_______2)______3)______4)______5)______6)______7)______8)_______ *PACKAGE EXPIRES 90 DAYS FROM DATE OF PURCHASE – PLEASE INITIAL HERE __________ |
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