REGISTRATION FORM
Spring 2008 Swing Courses (April - June)
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| I have enclosed $_________ |
| Name (1)____________________________________ Circle One: Lead or Follow |
| Name (2)____________________________________ Circle One: Lead or Follow |
| Address ____________________________________ |
| City _________________ State ______ Zip ________ |
| Phone (eve.) __________________ |
| Phone (day) ___________________ |
| Email _____________________________(print clearly!) |
Tell us which class(es) you are signing up for by circling the class(es) below.
| Jitterbug 1 | $50 ($60 at door) |
| Jitterbug 2-3 | $50 ($60 at door) |
| Lindy 1 | $50 ($60 at door) |
| Lindy 2 | $50 ($60 at door) |
| Lindy 3 | $50 ($60 at door) |
Please Print and Mail to:
Swing Courses c/o
5848 Aylesboro Ave.
Pittsburgh, PA 15217-1446
Make checks payable to: “Coal Country Traditions”.