REGISTRATION PROCESS: (1) Enter Student Information     (2) Print Receipt     (3) Pay Online or Mail Check
 
SALSA (Beginner & Up)
Class Dates: MONDAYS  Starting:  September 13 - October 25, 2010, 7-weeks
Class Time: 8:30 PM
Class Location: Green Acre Center, Fairfax VA
Class Instructor: Mas Nishida
Price: $ 91
* Required fields
* First Name:
* Last Name:
* Leader or Follower:
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* City:
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* Zipcode:
* Home Phone:
* Work Phone:
Cell Phone:
* Email:

 
Complete the form below to register another person for the same class. Leave the form blank if you are only registering one person and complete the payment information at the bottom of the form.
First Name:
Last Name:
Leader or Follower:
Street Address:
 City:
 State:
Zipcode:
 Home Phone:
Work Phone:
Cell Phone:
Email:

 
Payment Information
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Total Amount $: .00
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