Name:

Venues:

Tuesday City Danse Studio Level 4 203 Castlereagh Street, SYDNEY Close to Bathurst Street (Between Park & Bathurst Streets)

Commencement Date:

   Beginner 1 - Tuesday 31st January 2012
       7.00pm to 8.00pm  

   Beginner 2 - Tuesday  31st January 2012
        7.00pm to 8.00pm  
         

Gender:

    Male

    Female

Do you intend to come with a partner?

Yes            No

Partners Name   

Contact Phone Number   

Email Address: 

NB: Your email address is needed to confirm your registration.

How did you find out about 'Club de Tango'?

    '9 to 5' Magazine

    Goggle search

    Yahoo search

    Bing search

    Sydney Morning Herald

    Newcastle Herald

    Sydney Central

    Dance Network

    Salsa Newcastle

    The Star - Newcastle

    Sydney Tango

    Web Search

    Radio

    Poster

    Sticker

    Friend

    Other 

Would you like to be included on our email list?

Yes            No

REMEMBER: Student Concession for $100.00 .
 

Plus, those who register & pay for Beginner 1 on or before the following date receive the Student discount price.

• 6th January for Class starting 31st January  - City
• 6th January for Class starting 31st January  - City

Payments can be made at either venue during class or Milonga, Credit Card, Direct Deposit or cheque made out to 'Peter Waller' can be posted to:

Club de Tango
P.O. Box 814,
BROADWAY  NSW  2007

NOTE: All information will remain confidential and is only required for the purpose of organising class sizes