Mail in Registration: Please check the classes above and fill out the form.

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
Level One A
7:00 - 8:00 PM
$70
 
Level One A (Bring a Buddy)
7:00 -8:00 PM
$60
 
Level One B
8:00 - 8:30 PM
$40
 
Level Two
8:30 - 9:00 PM
$40
 
Special Discounts:
     
Level One and One B
7:00 - 8:30 PM
$100
Save $10
 
One B and Level Two
8:00 - 9:00 PM
$70
Save $10
 
Wednesday Special
7:00 - 9:00 PM
$130
Save $20
 
Belly Dancing Classes (4 weeks)
May 6 - 27,  2010  (Thursdays)
Location: Lioudmila Dance Studio
18 Roth Street, Alexandria, VA.
Class Selection
Buddy's Name