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Please indicate any special requests below: Dietary Requests: For other information, contact: Brian Campbell 519-644-2265 (briancampbell517@sympatico.ca)
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Name(s): _______________________________________________________
Address: ____________________________________________ Postal Code: ________________ Telephone: ________________
Please reserve ________ tickets @ $45 each = $ _________ Non-dancers ________ tickets @ $25 each = $ _________
Make cheques payable to: RSCDS London Canada Branch Registrations deadline: Friday, December 14th, 2007; no refunds after this date. Mail to: RSCDS London Canada Branch, PO Box 33012 |