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REGISTRATION FORM
Susana Miller
May 20-22, 2005

10% discount if paid/postmarked by Tue., May 17.

Print this and send with checks payable to
Trini Regaspi
3 Musgrave St.
Pittsburgh, PA 15207

Name:________________________________________

Check if Leader _____ or Follower______

Check here if you haven't studied tango before _______

O Fri. – 1. Fundamentals of Close-Embrace Tango
O Sat. - 2. Building the Perfect Dance Floor
O Sat. - 3. Tango Lento
O Sun. - 4. Master Class – Velocity of Movement I
O Sun. - 5. Master Class – Velocity of Movement II
O Sat. Milonga ($10) - no discount

O Weekend Package w/ workshops & milonga ($125)

I’m also taking (check all that apply)…
____ Early Bird discount
____ Travelers discount

Final Amount Due w/ discounts ___________

Address _______________________________________

______________________________________________

Phone: _____________________

Email: _____________________

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