Name:_______________________________________

Address:__________________________________________

______________________________________________________________

Telephone: (Home)________________________________

(Work) _____________________________    (Mobile) ________________________

E-Mail: ________________________________________

Make check payable to : Azza Mounib                

Send form and check to:
Azza Mounib-Zaki
6533 Palisades Drive,
Centreville, Va. 20121

Saiidi (Upper Egypt) Workshop
Saturday and Sunday - May 31 - June 1, 2008
11:30 am - 4:30 pm
$180 includes registration, and workshop CD
Location: Dance Studio Lioudmila's 18 Roth Street. Alexandria, V A
(703) 751-8868

Registration Form
$2.00 flat rate charge if using paypal
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