DanceChatter.Com Registration Form 

New 6-Week Series Starts TUESDAY, FEBRUARY 23, 2010 

INSTRUCTIONS

Print & fill out form

Give to Registration Desk at any DanceChatter Class or Event with payment

-OR- PAYPAL funds to trish@dancechatter.com

-OR- Mail Checks to TRISH CONNERY, 7271 Willoughby Ave., #1, Los Angeles, CA 90046 

Make Checks Payable to TRISH CONNERY

Name:  _________________________________________________________

E-Mail or Phone:  _________________________________________________

_________              7:00 pm             Beginning West Coast Swing

 _________             8:00 pm            Beyond Basics West Coast Swing

_________             9:00 pm            Beginning Nightclub 2-Step

$42 for One Person, One 6-Week Series for Moose Lodge Members IN ADVANCE (Save $18 over the Single Class Cost)

$48 for One Person, One 6-Week Series IN ADVANCE (Save $12 over the Single Class Cost)

$54 for One Person, One 6-Week Series AT THE DOOR (Save $6 over the Single Class Cost)

Sorry, No Refunds after the 1^st Class

Trish Connery & DanceChatter.Com

323-228-3532; trish@dancechatter.com