OPEN FOR DANCING


REGISTRATION FORM
OPEN FOR DANCING
NAME: _________________________________________

PHONE: ____________________________

EMAIL:_____________________________

MAILING ADDRESS:
Full Street address or Post Office Box:
________________________________________________

City: ________________________________

State: ______________ Zip: _____________

Print out this form
Make check payable to Island Moving Co.
Send check and order form to
Island Moving Co
PO Box 746
Newport RI 02840
Or charge to Visa or MasterCard
(circle one) by filling out form
and mailing to address above

Account________________________________

Signature______________________________

For additional information
call 401-847-4470
Participant Package $150.00 per person
includes gala reception, all classes, performances, rehearsals,
cocktail party, panel discussion as well as participation in site specific dances.
Does not include meals (such as brown bag lunches)
_________________
Tickets for Performances
Sat or Sun all performances and trolley ride $35.00
Sat______________
Sun______________
Open For Dancing T shirt
Sizes: Womens S M L (circle one) $20.00
Men's L XL (circle one) $20.00

_______________
_______________
Optional donation to Island Moving Co to support
Open for Dancing and our 22nd Season!


_________________
Total enclosed_________________
If you and a friend(s) are attending the festival and would like to be in the same dance, please include their names
___________________________
___________________________
___________________________
   Check here if you are purchasing a package and would prefer to work behind the scenes.
   Check here if you are purchasing a package, and want to work on the Trinity Church dance (September 12, 19 & 26).
   Check here if you are purchasing a package but do not want to perform or tech.