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.