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REGISTRATION
FORM
(click for registration
form in PDF format)
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The complete dance weekend package is $495.00 per couple.
A deposit of $100.00 is required to confirm your
reservation. Cancellations made after August 12th are non-refundable.
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September 5 -7,
2008
We DO NOT
overbook our dances. Please reserve early.
NAME_________________________________________
ADDRESS_______________________________________
CITY/STATE/ZIP________________________________
PHONE__________________________________________
E-MAIL___________________________________________
ROOM
REQUESTS:
(Room requests will be honored first come,
first served.)
Room: Smoking ____ Non-Smoking_____
Request room near________________________________
BALLROOM NON-SMOKING
Table Reservations
(Tables of eight (8) available)
Number of people _________
Share Table With:
____________________________________________________________
____________________________________________________________
____________________________________________________________
TOTAL ENCLOSED $ ___________________
Make check payable to Lewis D’Amico
Mail deposit or full payment to:
Lewis D’Amico
P.O. Box 7532
Metairie, LA 70010-7532
E-Mail: LuiLaine@sbcglobal.net
1-800-465-3649
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Please send invitation to
D’Amico Dancing’s weekend to: Name ________________________________________________________________ Address ______________________________________________________________ City/State/Zip __________________________________________________________
Name _________________________________________________________________ Address ________________________________________________________________ City/State/Zip ____________________________________________________________
Name __________________________________________________________________ Address _________________________________________________________________ City/State/Zip _____________________________________________________________
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