NAME(S)      _________________________________________________________


ADDRESS      _________________________________________________________


             _________________________________________________________


PHONE        _________________________________________________________


E-MAIL       _________________________________________________________


COMPREHENSIVE TICKET (ceilidh, dinner, dance):         _____ TICKETS @ $38.00/each          

NON-DANCER'S TICKET (ceilidh, dinner, up to 3 dances): _____ TICKETS @ $25.00/each

   Entree choices:  Salmon                 ______
                    Chicken                ______
                    Couscous (vegetarian)  ______

NON-DINER'S TICKET  (ceilidh, dance):                  _____ TICKETS @ $25.00/each

CEILIDH  ONLY:  Tickets may be purchased at the door for $5/person

LATE FEE (For registration after 12 February):              _____ @ $5.00/per person



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 a discounted rate at the Sheraton 
Four Points Hotel.  Details are on the main ball web page.

**IF YOU HAVE A CEILIDH ACT TO CONTRIBUTE, PLEASE DESCRIBE ON THE BACK.**