The Commonwealth Vintage Dancers


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Technocrat’s Ball


 
Registration Form for Technocrat’s Ball,  27 february 2010

Name(s):
 

Address:
 

City:
 
State:
 
Zip:
 

Telephone:
 

E-mail Address:
 
        Full Names of others in your party:
(please indicate if full-time student)

 
 

 
 

 
 

 
 

 
 



Registrations: Adults ($25):   
  Students ($15):   
 
Total: 
 



Ball fee is
$25 ($15 youth)

Send a check, payable to CVD, to:

CVD
c/o: Katy Bishop
P. O. Box 9
Nahant, MA 01908
 

for further information call Katy at 781-593-3038 or Barbara at 781-396-2870
or email


Last updated 3 february 2010/csb