Registration for Summer 1998
Tim Gillis Country Dance Weekend


Please Detach and Mail with $50 per person Deposit to:  Tim Gillis Enterprises, PO Box 925, Woodbridge, NJ 07095, or Call 800-847-3836 to Charge your deposit.

Name________________________
Address______________________
City__________________________
State_________Zip_____________
Phone________________________

Ultra Deluxe
Beginner
Intermediate
Advanced
Line
Couples

Limited Non-Smoking rooms available on a 1st come, 1st serve basis:

Non Smoking Smoking
**Although it's not always possible, we will do our best to get you the room or location you request
# of People w/this Deposit_
________

Credit Card Number_________________

Names of other parties or group to with with and/or room near:

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Expiration Date_____________________

 

 

 

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