| Name: | ______________________ , | ____________________ |
|
Ticket Purchase Form |
| last name | first name |
| Phone: | _________________ |
| E-Mail: | ___________________________________ |
Privacy Information: The above information will be used by Jennifer Aucoin (the congress organizer) so that you may pick up your pass/tickets at the event. The phone numbers and emails are used in case you need to be contacted about your pass/tickets. The email will be part of a Toronto Congress email list for updates 4-6 times a year. Toronto Dance Inc. may also collect this information for class-related information and dance-related events. Your contact info will never be sold or given to anyone else.
Please use the table below to indicate how many tickets needed of each ticket type and the total cost. If you purchase the full pass before Sep 8, you will be entered into a draw to win a trip to Puerto Rico. Other packages are also available.
| Date | Time | Event | Cost until Sep 8 |
Cost Sep 9 to Oct 3 |
Number of Tickets | Total Cost |
|---|---|---|---|---|---|---|
| Full Congress Pass | $200 | $230 | ____ | $ ____ | ||
| Fri 2004-10-08 | 9:00-10:30pm | Performances | $25 | ____ | $ ____ | |
| 10:30pm-4:00am | Dance Party | |||||
| Sat 2004-10-09 |
Entire Sat | $115 | $120 | ____ | $ ____ | |
| 11:00am-5:00pm | 18 different lessons/workshops | $100 | ____ | $ ____ | ||
| 9:00-10:30pm | Performances | $30 | ____ | $ ____ | ||
| 10:30pm-4:00am | Dance Party | |||||
| Sun 2003-10-10 |
Entire Sun | $110 | $115 | ____ | $ ____ | |
| 11:00am-5:00pm | 16 different lessons/workshops | $100 | ____ | $ ____ | ||
| 9:00-10:30pm | Performances | $25 | ____ | $ ____ | ||
| 10:30pm-4:00am | Dance Party | |||||
| Fri & Sat & Sun 9:00pm-4:00am | $70 | $75 | ____ | $ ____ | ||
| Fri & Sat 9:00pm-4:00am | $50 | ____ | $ ____ | |||
| Total Cost | Date: ___________, 2004 | $ ____ | ||||
Pay by cash or cheque (payable to “Chuan Chee”).
Send (do not fax) reg form and cheque to:
Toronto Dance, Suite 3107, 38 Elm St., Toronto, ON. M5G 2K5