The Commonwealth Vintage Dancers


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Registration Form: Returning Heroes
1860's Ball,  03 March, 2007


 
Registration Form for 1860's Ball, 03 March, 2007

Name(s):		  

Address:		  

City:		  
State:		  
Zip:		  

Telephone:		  

E-mail Address:		  
        Full Names of others in your party:

 		  

 		  

 		  

 		  

 		  


 
Number of Persons		    
No. Attending
Dance Workshop (free)		    
No. Attending
Ball ($10/$15/$20/$25)		    
 
Total Enclosed ($)		    


Fee is $20 ($10 students) if registered in advance,
$25 per person ($15 students) at-the-door
(space permitting - admittance not guaranteed without a reservation).

There is no charge for Saturday Dance Workshop

Send a check, payable to CVD, to:

CVD c/o: Barbara Pugliese
39 Capen Street
Medford, MA 02155
 

for further information call Barbara at 781-396-2870 or email

Last updated 11 January 2007/csb