REGISTRATION FORM

Playford Ball, March 7, 2009

Name ____________________________________

Address ___________________________________

City, State, Postal Code 
__________________________________________

Phone (day, evening) and E-mail _________________
__________________________________________
 

We offer a sliding fee scale to make the Ball more financially accessible: $18-35.
The suggested $30 amount covers the cost of attending the Ball.

Optional light supper @$10 per person $________. Dance $________Total enclosed $ _________
Make checks payable to: Minnesota Country Dance  Coop.
_____  I need a place to stay
_____  I can offer hospitality


Please mail registration and payment by Sunday, March 1, 2009 to

George Ehrenberg
3932 15th Ave. S.
Minneapolis, MN 55407

For futher info, contact Nancy Riley (952-938-2987) Tnriley3 at cs dot com  or Steve at 763-522-7409