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Salsa Course Registration

No enrollment deadline. Places reserved upon payment in full, 1st come - 1st served.
  1. Complete and submit the Salsa Registration Form, below.
  2. Call (604) 602-1831 to pay by credit card (voice-to-voice) - OR - click below to have the fee charged to a previously used card.
  3. When your form is received and payment in full received, your place will be reserved and you will be emailed a course receipt.
Salsa Registration Form
Full name
 Ms.  Mr.  First  Last
Email address
Phone number
Day  Night
Postal code



(click one)
I first found out about Susana
Domingues Dance School through:
Word of Mouth
Google search ad
Google Search listing
Yahoo Search result
Other
(click one) Register me for Beginner Salsa:
10 Wednesdays 8:30-9:55 pm, Sep 22 to Nov 24/10
10 Thursdays 7:00-8:25 pm, Sep 23 to Nov 25/10
(must click this box) I understand the following:
      * No refunds or credits for withdrawals or missed
        classes.
      * Course enrollments are non-transferable.
      * I will be required to sign an injury release form.
      * Everyone, without exception, must switch partners at
        classes.
(click one) Payment Method:
please charge the fee to the same card used for my last
        course
I will call with credit card payment
I will mail a check once I'm informed if space is
        available
 
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
     

 
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