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To reserve your place at this year's Dance Sport Summer School, please print this form
and fax it to us at:  0049 2241 973 999 7 
or post to Euro Dance College, Mendener Strasse 6,  53840 Troisdorf.  Germany.  
Alternatively you may send it per Email. ian@iandesouza.de
Full Name      
Address      
Town / Postcode       
Country      
Telephone (Day)      
Handy / Mobile Phone       
E-Mail      
I wish to book my place at the Dance Sport Summer School 2006
I am preparing for my  _____ Associate.   _____ Licentiate.  _____ Fellowship  
                                in _____ Ballroom.  _____ Latin American.  _____ Freestyle 
(please tick as appropriate)
I wish to book the entire course 8th  July 22nd July 2006
I wish to book one week from  ___  July to  ___ July 2006
Licentiate & Fellowship Candidates:
 450 pounds for the entire course.  250 pounds for one week.
Associate Candidates: 
 275 pounds for the entire course.  150 pounds for one week
Do you wish to take an examination on completion of the course? __________
Please book my accomodation at:
The Holiday Inn Express 45 Euro per night inc.
The Quality Hotel 49 Euro pro night inc.
for the following dates:
Weekday Date Note
Arrival      
Weekday Date Note

 

 

Departure      

 

 

 

click here to pay online
please debit my Credit Card details as follow
Name as on Credit Card  
Card Number  
Security Code   (last 3 digits)
Valid till            / 
Credit Card Type   (ie Visa, Master Card, Amex
   
   
________________________________________
       Signature
Reservation accepted: ___  Confirmed ___  Payment Confirmed ___  Hotel Booked ___
Comments: 

   
     
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