1st Annual Mid-south Salsa Convention
June 10 - 12, 2005
Salsa Convention Registration:
$129.99 If booked Mar 01 - Apr 01
$149.99 If booked May 01 - May 31
$159.99 If booked Jun 01 - 11
Type of Registration: Select General Registration Promoter Performer Instructor
Number of Persons Registering: Select 1 2 3 4
Names of Registrants:
1st Person , Promoter Code:
2nd Person , Promoter Code:
3rd Person , Promoter Code:
4th Person , Promoter Code:
We will mail you confirmation/ticket once payment is received.
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Hotel Wyndham Garden
Price $69.00 + 11.00 tax = $80.00 per night
Smoking or Non-Smoking
King/Queen Bed or 2 Double Beds
Names of Guests in the room (with ages of any children):
1st Person
2nd Person
3rd Person
4th Person
Number of Adults: 1 2 3 4 5 6
Number of Children: None 1 2 3 4 5 6
Comments, special requests or Questions:
If you cancel March 1st to May 31st, there is a $50.00 cancellation fee with refund of remainder. No refunds if cancellation from June 1st to 11th. !If you have any questions or you wish to book by phone call toll-free 866-320-5925..
I agree to the above refund policy. (Your order can not be processed unless this box is checked.)
Card Number:
Expiration Date: Month January February March April May June July August September October November December Year 2004 2005 2006 2007 2008 2009
I perfer to pay by check or money order.
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