ONLINE REGISTRATION

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ONLINE REGISTRATION

Your contact information:

Full name:

Email address:

Street Address, City, Zip:

Your interests:

I'm registering for:

Comments:

How did you hear about us

Newspaper? Web search? Friend?

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BELLYDANCE: 6 week class. March 01. Mondays. 5:25-6:25 $60 (Continuing student discount = $42)

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BELLYROBICS: 1 month class. Fridays, March 05-26. 6:30-7:30 $20 (Drop-in Welcomed $10 a class.)

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BOLLYWOOD: 8 week class. March 01. Mondays. 6:30-7:30 $65 (Continuing student discount = $56)
OR March 12 Fridays. 5:30-6:30

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TO REGISTER:

1) Please fill out the form with full information.

2) Make a payment by:
       a) BRINGING A CHECK/CASH TO THE STUDIO BY THE REGISTRATION DATE

       b) MAIL A CHECK TO THE STUDIO MADE PAYABLE TO "TERRI WOODLIFF"
Dance With Me, 1275 WABASH, SPRINGFIELD IL, 62704

       c) USE CREDIT CARD or PAYPAL OPTIONS BELOW
($2 fee added for this option) PLEASE NOTE: YOU MAY USE YOUR CREDIT CARD WITHOUT BEING A PAYPAL CUSTOMER. WHEN YOU CLICK ON THE "BUY NOW" BUTTON, IT TAKES YOU TO PAYPAL, BUT YOU CAN USE THE OPTION SHOWN BELOW AND JUST CLICK ON THE WORD CONTINUE:

Don't have a PayPal account?
Use your credit card or bank account

3) You'll receive a confirmation email. Please feel free to ask any questions before registering by writing me at Evensongs@juno.com or calling 280-0719

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AMERICAN GYPSY: 6 week study program. March 22. Mondays. 7:35 $60 (Continuing student discount is $42)

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ARABIAL SPICES- 3 WEEK STUDY: Sundays 2:00-3:30; Starts March 07 $40

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DANCE AS MEDITATION: 6 week class. Wednesdays, March 24. 6:30-7:45
$60 for the 6 week class. DROP-IN rate is $10. Continuing student discounted price= $42.

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See you in class!

Don't have a PayPal account? Use your credit card or bank account

Don't have a PayPal account?
Use your credit card or bank account