Please print, fill out, enclose a check made
out to RSCDS Twin Cities Branch, and mail to:
Judith Palmateer
Include a SASE if you would like a copy of dance instructions mailed
to you.
1935 Berkshire Drive
Eagan, MN 55122
NAME(S) _________________________________________________________
ADDRESS _________________________________________________________
_________________________________________________________
PHONE _________________________________________________________
E-MAIL _________________________________________________________
DINNER & DANCING: _____ TICKETS @ $35.00/each
DINNER & 3 DANCES: _____ TICKETS @ 30.00/each
_____ Chicken
Entree
Options: _____ Salmon
_____ Vegetarian
DANCING ONLY: _____ TICKETS @ $25.00/each
TOTAL AMOUNT ENCLOSED: ________________________
(Please make checks out to RSCDS-Twin Cities Branch)
NEED HOSPITALITY? Yes No
IF YES, LET US KNOW IF YOU HAVE ANY PET ALLERGIES, SMOKING PREFERENCES, OR
SPECIAL NEEDS. ALSO, PLEASE LET US KNOW IF YOU ARE TRAVELLING WITH OTHERS
_______________________________________________________________________
NOTE: Due to fixed costs, refunds after 3 Feb 2001 will incur a
$5 surcharge. No refunds can be issued after 10 Feb 2001.