Judith Palmateer
1935 Berkshire Drive
Eagan, MN 55122
Include a SASE if you would like a copy of dance instructions mailed to you.
NAME(S) _________________________________________________________
ADDRESS _________________________________________________________
_________________________________________________________
PHONE _________________________________________________________
E-MAIL _________________________________________________________
FULL EVENING (dance, dinner, and ceilidh): _____ TICKETS @ $38.00/each
DINNER + 3 DANCES and CEILIDH: _____ TICKETS @ 30.00/each
Dinner will be a buffet. Vegetarian selections will be available.
DANCING ONLY: _____ TICKETS @ $25.00/each
CEILIDH ONLY: _____ TICKETS @ $10.00/each
LATE FEE: _____ @ $5.00/per person
(For registration after 8 February).
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: Accommodations are also available at the Medina Inn, located next door to
the ballroom. Details are on the main ball web page.
**IF YOU HAVE A CEILIDH ACT TO CONTRIBUTE, PLEASE DESCRIBE ON THE BACK.**