Name/s:

Venue:

Seymour Centre
Corner of City Rd and Cleveland St,
CHIPPENDALE
Access via Shepherd Street  

Course Date:

   Monday 12th October 2009
        Concept Class 7 to 8.30pm
          

Gender:

    Male

    Female

Partners Name   

Contact Phone Number   

Email Address: 

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

    '9 to 5' Magazine

    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        Already on list

Payments can be made at either venue during class or Milonga, 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