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March 20, 2010 Rhythm Lounge - Registration Form

Pricing
*Required Information (one form per student)
*First Name:
*Last Name:
*E-mail Address:
*Best Contact Phone Number:
*Are you Leading or Following?
Partner's Name (if applicable):
How did you hear about these classes?
Additional Comments: (If referred by a friend, enter their name here)
*Which class(es) would you like to take?	6:00 - 7:00 pm - Balboa: The "Classics" (Int)
	7:00 - 8:00 pm - Lindy Hop: "Modern Roots" (Int)
	8:00 - 9:00pm - Beginner Swing & Intro to Lindy (Beg)

Payment Received or Postmarked by March 15th	After March 15th or At Door
$12/person/class - $20/person/2 classes	$15/person/class - $25/person/2 classes
Payment Options
Pay with PayPal	Pay By Check
Paypal.com - send to paypal @ redwood city swing . com	Mail a Check Payable to: CARLA HEINEY: Attn: Swing Classes 3145 Geary Blvd. #616 San Francisco, CA 94118 NOTE: There will be a $20 charge for all returned checks.