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.

joinnowbt.jpg (5158 bytes)

 

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NAME His____________________________________________________

Hers___________________________________________________

ADDRESS His____________________________________________________

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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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LSOTA@aol.com