40TH DANCE-A-RAMA REGISTRATION
SOUVENIR ORDER (Add $1.50 for XXL T-Shirt, $2 for XXL Polo Shirt, & $5 if souvenirs are to be mailed):You can use the downloadable PDF form, or this page. Please print clearly, using a separate form for each dancer. Complete Weekend Only. Registration includes the Dance Program Events for Sept. 3-5, 2010. Souvenirs, Tours, & Thursday night dance are EXTRA. $5 Cancellation Fee after June 1, 2010; & NO REFUNDS after Aug. 1, 2010. Registration provides a complimentary SSDUSA membership from Sept. 6, 2010 to Sept. 4, 2011. Advance Registration before Aug. 1, 2010: $40 per person. Registration after Aug. 1, 2010: $45 per person.
Name (Last) _________________________________ (First) _______________________________
Address_______________________________________________________ Apt. # _______________
City, State___________________________________________________ Zip __________________
Phone ____________________________ Cell __________________________
Email __________________________________ Name of Home Club ______________________________
IMPORTANT!! THIS MAY DETERMINE THE SIZE OF YOUR HALL! Circle your dance level: Squares: Mainstream Only Plus DBD A1 A2 C Rounds: II III IV V VI
Total #: Item Description: #SM: #MED: #LG: #XL: #2XL: TOTAL $TOUR ORDER (All Tour Reservations MUST be made by July 15, 2010. NO REFUNDS After Aug. 1, 2010).
_______ T-shirt @ $12 ____ _____ ____ ____ ____ $________
_______ Polo Shirt @ $20 ____ _____ ____ ____ ____ $________
_______ Coffee Mug @ $10 $________
_______ Tote Bag @ $10 $________
Tuesday, August 31 Cathedral, Shrine & Monastery 8:00 am - 2:30 pm $85 $________ Wednesday, Sept. 1 Smithsonian Museums 9:30 am - 2:30 pm $45 $________ Wednesday, Sept. 1 Kennedy Center - Sheer Madness 7:00 pm - 11:00 pm $50 $________ Thursday, Sept. 2 Mount Vernon 8:30 am - 2:30 pm $85 $________ Thursday, Sept. 2 Alexandria City Tour 1:00 pm - 5:00 pm $40 $________ Friday, Sept. 3 Washington, DC City Tour 8:30 am - 12:30 pm $40 $________ Friday, Sept. 3 River Cruise-Spirit of Washington 11:00 am - 3:00 pm $65 $________ Saturday, Sept. 4 Washington, DC City Tour 1:30 pm - 5:30 pm $40 $________ Saturday, Sept. 4 Kennedy Ctr, Georgetown & Embassy Row 8:30 am - 12:30 pm $50 $________ Sunday, Sept. 5 Dangle Dance at Historical Mystery Sites 8:00 am - 1:00 pm $20 $________ Make checks payable to 40th Dance-A-Rama Registration Fee Summary: Then, mail your check and this page to: Registration Total: $______________ 40th Annual Dance-A-Rama Souvenir Total: $______________ P.O. Box 988 Tour Total: $______________ Herndon, VA 20172-0988 Grand Total: $______________