Registration Form
(Please print & mail)

Christmas Celebration Dance -- Sat. December 15, 2007
Reception-6:00 P.M., Dinner-
6:30, Dance-8:00
Royal Canadian Legion, Br 501 Kilbourne Road, Lambeth

Please indicate any special requests below:

Hospitality:
[contact Nancy Duncan, (519) 451-7894]

Dietary Requests:
Dinner will be a traditional Christmas Turkey dinner (alternatives are available upon request)

For other information, contact - e-mail: briancampbell517@sympatico.ca

Name(s): _______________________________________________________

Address: ____________________________________________

Postal Code: ________________ Telephone: ________________


Special Requests ________________________________________

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
299 Oxford St E., London N5Y 5L4