L'Sota's Pajama Dance Blast Social
Dance Blast Social Registration
Saturday, December 6th, 2008
In the Quad Cities area
319-329-3306
New couples and new single females to L'Sota, please scroll down on this page to the L'Sota Membership area. You only need to become a member, as your first Dance Blast and orientation is included.
If you are wanting to pay by using a secure on line service please click on the JOIN NOW button. If you are mailing your payment in please print this page and send with your payment.
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| NAME | His____________________________________________________ Hers___________________________________________________ |
| ADDRESS | His____________________________________________________ Hers___________________________________________________ |
| PHONE | His____________________________________________________ Hers___________________________________________________ |
| ___ Check ___ Cash ___Money Order |
|
| $ ________enclosed |
If you're a current L'Sota couple member or single female member you may come directly to the location without pre-payment.
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Saturday, December 6th
2008
L'Sota's Pajama
DANCE BLAST SOCIAL
Member couples, $30.00* ____
*Memberships not included in the above
This is a Merry X-mas and Thank You special
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Single females, $15.00* ____
*Memberships not included in the above
This is a Merry X-mas and Thank You special
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Single males $40.00* ____
*Memberships not included in the above
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Make your check or money order out to
L'Sota
P.O. Box 1075, Cedar Rapids, Iowa 52406
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L'Sota Membership
____ Please find enclosed our couples membership fee of $49.95 for our L' Sota yearly membership good for ONE YEAR (365 days).
Once you become a new couples member, please advise us in an e-mail of your desire to attend the next L'Sota Dance Blast Social as well as your partners name.
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____ Please find enclosed my single FEMALE membership fee of $25.00 This is per single female for L' Sota's yearly single female membership. (Limited Offer)
Once you become a new single female member, please advise us in an e-mail of your desire to attend the next L'Sota Dance Blast Social.
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