The Commonwealth Vintage Dancers


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Fezziwig's Ball


 
Registration Form for Fezziwig's Ball,  19 December 2009

Name(s):		  

Address:		  

City:		  
State:		  
Zip:		  

Telephone:		  

E-mail Address:		  
        Full Names of others in your party:
(please indicate if full-time student)

 		  

 		  

 		  

 		  

 		  


 
Number of Persons: adult ($25):		    
youth ($15):		    
No. Attending
December 11 Dance Workshop (free with ball admission)		    
No. Attending Ball    
 
Total Enclosed ($)		    


Ball fee is
$25 with advance reservation,
$30 at the door
($15 youth)

Send a check, payable to CVD, to:

CVD
c/o: Katy Bishop
P. O. Box 9
Nahant, MA 01908
 

for further information call Katy at 781-593-3038 or Barbara at 781-396-2870
or email

Last updated 2 november 2009/csb