Hala Dance Atef Farag Pre-registration

Pre-registration form :
Atef Farag workshop and/or Sat evening show

Numbers are limited, so reserve your place now. Pre-registration is easy :

Complete the pre-registration form
You will receive a confirmation email within 48 hours, holding your place for 7 days (not applicable after May 26th, 2005)
Make your check payable to Hala Dance (please include a copy of your completed form, or confirmation email)
Mail the check and form/email to Hala Dance, 1478 Calabazas Boulevard, Santa Clara, CA 95051
On receipt of your check, your place is guaranteed

If you would prefer, you may print this form (or the workshop flyer or the show flyer), complete it, and mail it to Hala Dance with your check

Pre-registration form :
Atef Farag workshop and/or Sat evening show

**Name :
Dance Name (if different) :

**Address :
		**Telephone :
		**Email :

	Number of people	Amount
Saturday Workshop :		$ ($50 per person)
Saturday Evening Show :		$ ($15 per person)
Sunday Workshop :		$ ($50 per person)
Two days Workshop (Sat & Sun):		$ ($90 per person)
**Total amount :		$

How did you hear about this event (check all that apply) :
Friend \|\| Internet \|\| Flyer or Printed Material \|\| Other (please specify in comments below)

Special requirements or comments :


Please check you have filled in all the required fields (marked **) before clicking on the submit form button.