Jack & Jill O'Rama
2008 Registration Form
2008 Registration Form
For Mail; Please Print, & Fill Out Completely
E-Mail: (credit card only)
Copy & Paste, Fill out completely
E-Mail: (credit card only)
Copy & Paste, Fill out completely
|
Jack & Jill O'Rama 2008 Registration Form |
For Mail; Please Print, & Fill Out Completely E-Mail: (credit card only) Copy & Paste, Fill out completely |
|
| Name: | |
| Address: | |
| City, State, Zip: | |
| Phone: | (Day)_______________________(Eve)_______________________ |
| E-mail: | |
| Amount enclosed: | |
| Visa/Mastercard# | _______________________________________ Exp.date_________ |
|
Central Coast Swing Dance, 333 Rice Ranch Rd, Santa Maria, CA 93455 Phone (805) 937-1574 Registration E-Mail: ccsd@thegrid.net Back to Jack & Jill O'Rama |
Copyright: Central Coast Swing Dance 2008 © ~
All rights reserved. Page info email: pegdebiasi@aol.com |