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Chanson De Vie Dance Studio
3-Day Seminar Sign-up Form
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Please fill out the sign-up form below for our 3-Day seminar featuring Margo Abdo-O'Dell, Bahaia, and Melissa Amir.  Please note that the prices have gone up since March 15, 2004.  You can pay by check or by Paypal.  
 
If you are paying by:
 
Check - Please fill this form out and print it before you hit the submit button, sign it at the bottom and mail it with your check to:
 
Chanson de Vie Dance Studio
18047 Point Lookout Dr.
Nassau Bay, TX  77058
 
Paypal - By checking the last box at the bottom you are electronically agreeing that you are releasing the right to sue Chanson de Vie and its Affiliates of ANY and ALL accidents.

First Name
Last Name
Address
Apt. # or PO Box #
City, State Zipcode
Phone Number
Email Address
Join our mailing list?
Are you attending the full 3-day workshop for $180?
If you are not attending the full 3 day workshop, please type what day(s) you will be attending and then select the day(s) below.
Friday only $90
Saturday only $90
Sunday only $90
Will you be attending the show?
How many tickets will you need @ $15/ea?
Please enter your total.
How will you be paying?
I Agree that by paying by check or Paypal, I am releasing the right to sue Chanson de Vie Dance Studio and its affiliates of ANY and ALL Accidents.
  

Signature: __________________________________________________________
 
Date: _________________________________________________

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