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Halloween Swingthing Registration Form
For Mail; Please Print, & Fill Out Completely
E-Mail: (credit card only)
Copy & Paste, Fill out completely

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Name:
Address:
City, State, Zip:
Phone: (Day)__________________(Eve)__________________
E-mail:
Amount enclosed: $_______
Visa/Mastercard#_____________________ Exp.date_________

Halloween Swingthing is $119 when postmarked by Oct. 12, 2008

Please circle the passes you are purchasing:

Weekend Pass ~ all inclusive $139
Daily Pass good from 9am ‘til 5am the next morning $80
Evening Dance Passes 8:30 pm ‘til 5am $25
Non Dancer Spectator Passes: Day Pass $20 ~ Weekend Pass $50
Chaperone Non Dance Spectator Passes: Day Pass $10 ~ Weekend Pass $25
No refunds or substitutions


Central Coast Swing Dance, 333 Rice Ranch Rd, Santa Maria, CA 93455 Phone (805) 937-1574

Registration E-Mail: ccsd@thegrid.net


Copyright: Central Coast Swing Dance 2008© ~ All rights reserved.
Page info email: pegdebiasi@aol.com