DANCEFEST NEW JERSEY-2008
Mail-In Registration

Print & Mail to:

Marisa Pierson
2 Maryland Drive
Jackson, NJ 08527

Tel. 732-905-0059

Classes registering for (check all that apply):
1 class: $25 - 2 classes: $40 - 3 classes: $55 - 3 classes + Hafla: $60

________Farasha (Contrasts)
________Su'ad (Graceful Visions)
________Yasmeen (Cane)
_______Total Class Fee

_______Package: 3 classes & Hafla ($60-prepaid only)

_______Video of the Show ($25)

Dancefest NJ Showcase Tickets (indicate number)

_____Workshop Attendee Tickets ($10)
_____Family & Friends tickets ($15)

_____Total Ticket Fee

_____Grand Total for Classes and Show

*Please make checks payable to: Marisa Pierson

If you wish to pay be Credit Card, please include the following information
You can telephone me with your card info, if you prefer.

Credit Card Number (VISA, MC, Discover)___________________________________
Expiration Date:________________________

Signature ______________________________

Name:________________________________________________________________

Address: ____________________________________________________________

City, State, Zip:_________________________________________

Phone: ____________________________

E-mail:_____________________________

Do you wish to perform? Yes____ No_____.

Dance Name/ Name of Troupe: (list all performers-use separate sheet if needed) _____________________________________________________________
_____________________________________________________________
____________________________________________________________

Style: (Oriental, Folkoric, Tribal, etc.):______________________________________

Length of Dance: (up to 6 min.) _______________________