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
| Winter Condensed Classes Location: Lioudmila Dance Studio, 18 Roth Street, Alexandria, VA. (PREREGISTRATION IS REQUIRED FOR ALL CLASSES ) Please select classes carefully as there are no refunds, make-up classes, credits or transfers Tuesday - December 1 - 15 Wednesday - December 2 - 16 |
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