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Tango Course Registration

No enrollment deadline. Places reserved upon payment in full, 1st come - 1st served.
  1. Complete and submit the Tango Registration Form, below.
  2. Call (604) 602-1831 to pay with 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, you will be emailed a course confirmation/receipt.
Tango 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 Tango:
10 Tuesdays 8:30 to 9:55 pm, Mar 31 to Jun 2/09
10 Wednesdays 7:00 to 8:25 pm, Apr 1 to Jun 3/09
(must click this box) I understand the following:
      * My place is only reserved once payment clears bank.
      * 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:
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@tangovancouver.com
 

 
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Unauthorized reproduction is strictly prohibited and legally enforceable.

contact info Susana Domingues