 Hustle Halloween 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_________ |
Hustle Halloween is
$119 when postmarked by Oct. 14, 2008 $139 per person at the door No refunds or substitutions |
|
Central Coast Swing Dance, 333 Rice Ranch Rd, Phone: Debra Hampton @ (323) 459-6713 |