March 20-21, 2004
www.dancesquared.com
Registration
Make checks payable to:
Dance Squared”
1204 Richmond Dr SE
Albuquerque NM 87106-2340

Your contact name:    _____________________________(for badge): ________________
Other dancer:    _____________________________(for badge): ________________

Address: _______________________________________________________________
        
(Street/PO Box, City, State, Zip)

Contact phone: ____________________ Email: __________________

Full Package, $49 (before 3/15*)        # _____ x $49     $ _____
Saturday only $39 (before 3/15*)        # _____ x $39     $ _____
Less:    Student Discounts            # _____ x $10 less $ _____
    
                Total to “Dance Squared”:         $ _____

(if registered for Saturday only, and you decide later to add Sunday session, an additional $25 per person may be paid at the door. No Sunday Only session)

* at the door prices are $10 higher
$5.00 of each paid registration will be donated to
NEW MEXICO AIDS SERVICES
Info: Bill 255-2150 Email | Kris 265-6094 Email