THE TIMES SQUARES ~ PEEL THE PUMPKIN 2008

ADVANCE REGISTRATION FORM
PRINT OUT, FILL IN, AND MAIL WITH CHECK

FRI OCT 24- SUN OCT 26 2008

Registration fee:
$80 Early-Bird thru May 15th, 2008

NAME____________________________________________

ADDRESS_________________________________________

CITY_____________________________________________

STATE____________________________ZIP_____________

PHONE DAY:(______)_______________ 

PHONE EVE:(______)_______________ 

EMAIL ADDRESS:  _________________________________

CLUB AFFILIATION_________________________________

I DANCE:  MS  PLUS  A2   C1  C2

I WOULD LIKE TO CALL:   MS  PLUS  A2   C1  C2



Make Checks payable to TIMES SQUARES AND mail with completed 
registration form to:  
PEEL THE PUMPKIN 2008 c/o Joe Chodash
102 Butler Street, Brooklyn  NY  11231



 
Questions & Information: 
contact Times Squares Email