Registration Form Texas Salsa Open 2005

Houston Salsa Dancers

Texas Salsa Open 2005

Registration Form

Name________________________________________________________________

Name _______________________________________________________________

City/ State_______________________________________________________________________

E- Mails ._____________________________________________________________________

              ______________________________________________________________________

Tels. (home)__________________________________________________________

Cell Number____________________________________________________________

                 

How did you hear about the event?__________________________________________ ______________________________________________________________________

_______ Registration fee   $30 per couple/Amateurs

_______ Registration fee $50 per coupleSemi/ Professionals

_______ Registration fee $75 per couple Professionals

Name of Song/s________________________________________________________

Band or Group_________________________________________________________

Method of payment Cash_________  Check Number____________

Please send complete form to jmercado47@hotmail.com ( registration is not complete until payment is received)

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