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Salsa Course Registration

Classes fill-up quickly (1st come - 1st served). Registering 4 - 6 weeks early may avoid the disappointment of sold out classes.
  1. Complete and submit the Salsa Registration Form, below.
  2. Call (604) 602-1831 to pay by credit card (voice-to-voice)
    ---- or ----

    Send a cheque for the full amount of the course fee. Do not send cheques less than 7 days before course start. Cheques Payable to Susana Domingues:

    1168 Berkley Road
    North Vancouver, BC
    V7H 1Y4
  3. When your form is received and your payment has cleared the bank, we will email you a course confirmation/receipt.
Salsa Registration Form
Full name
 Ms.  Mr.  First  Last
Email address
Phone number
Day  Night
Your postal code



(click one)
I first found out about Susana
Domingues Dance School through:
Word of Mouth
Yellow Pages ad
Georgia Straight ad
Google Search
Yahoo Search
Other
(click one) Register me for Beginner Salsa:
10 Wednesdays 7:00-8:25 pm, Sep. 24 to Nov 26/08 $170
10 Wednesdays 8:30-9:55 pm, Sep. 24 to Nov 26/08 $170
10 Thursdays 7:00-8:25 pm, Sep. 25 to Nov 27/08 $170
(must click this box) I understand the following:
      * My place is only reserved once payment clears bank.
      * I will be required to sign an injury release form.
      * Everyone, without exception, must switch partners at classes.
(click one) Payment Method:
I will call with credit card payment
I will mail a check once I'm informed if space is available
please charge the fee to the same card used for my last course
 
NO EMAIL ADDRESS?   Print and complete this form. Sign beside "Submit Registration". Send to postal address above.

QUESTIONS?   refer to FAQ page or email: susana@salsavancouver.com
     

 
  © 2008-2009 Susana Domingues  All rights reserved
Unauthorized reproduction is strictly prohibited and will result in legal action.
contact info Salsa Vancouver