Name/s:

Venues:

City Dance Centre
Level 1, No.161 Castlereagh Street,
SYDNEY
(Between Park & Market Streets) 

Glebe Town Hall
160 St.John's Road,
GLEBE
(Corner of Mt Vernon Street)

Wesley Fellowship House
150 Beaumont Street,
HAMILTON ( Newcastle )

Preferred Date:

    Tuesday 20th January 2009
        7.00pm to 8.00pm  
        City Dance Centre
 

   Wednesday  19th November 2008
        8.30pm to 9.30pm  
        Glebe Town Hall
 

   Saturday "Classes currently on"
        2.30pm to 3.30pm  
        Wesley Fellowship House
 

Gender:

    Male

    Female

Do you intend to come with a partner?

Yes            No

Partners Name   

Contact Phone Number   

Email Address: 

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

    Completed "Club de Tango" Beginner Course

    '9 to 5' Magazine

    Sydney Morning 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

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