Company Name - Company Message
Registration form
 
Your name : _________________________________________________________
 
Address: ____________________________________________________________
 
City: __________________________  State: ________ Zip code: ______________
 
Phone: (____) ______________ E-mail address: ____________________________
 
Other dancers from whom payment is enclosed:
                1. ________________________________________________________
 
                2. ________________________________________________________
 
                Attendees:
 
      _____ dancers, full price $65* ....................................  __________
 
      _____ dancers, $58 before April 25 ..........................  __________
 
      _____ dancers, Friday night only $15 .........................  __________
     
     _____ dancers, all workshops Saturday $20 ...............   __________
 
      _____ dancers, each workshop Saturday $5 ...............  __________
 
      _____ dancers, Saturday night only $20 .....................  __________
 
      _____ dancers, Sunday, all day $15* .........................  __________
 
      Total ........................................................................  __________
 
      * a Sunday breakfast is included in the price.
 
       Total number of females: _____     males: ______
 
Send registration form to:
Hands Four, PO Box 817, Berea, Kentucky 40403
 
Housing: Hands Four will only make an effort to find housing for persons who sign up for the full weekend and who have paid, preferably before April 10. Otherwise please take advantage of the many m/hotel options in Berea. See www.berea.com for accommodation options.
 
I would like to request home stays for
 
_____  couple/s     ______   single/s
 
Special housing needs. Please specify.
 
___________________________________________________________________
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