MASSABDA's 5th
Annual Summer Workshop
July 29, 2001

Registration Form

First Name: * Last Name: *
Street: *
City: * State: * Zip Code: *
Telephone: * E-mail:
An asterisk (*) means required field.
Ticket Selection Members* Non-Members Students**
All Events $60 $65

$55

All Workshops $35 $40 $30
Dinner/Gala Dance $35 $45 $35
Gala Dance Only $10 $15 $8 
Workshops/Gala Dance $45 $55 $38

*USABDA/MASSABDA Members 
**Student Discount with current student ID

If you have chosen a ticket which includes dinner, select a dinner option below.
Dinner Choice: Chicken Beef Vegetarian


Please make checks payable to: MASSABDA
Please send all checks to:  Terri Contrada · 6 Marden St · Saugus · MA · 01906
To pay by credit card, call: Terri Contrada 781-233-4568  

If you have chosen a ticket which includes dinner you must check the check box below.
I understand that payment must be done immediately, by credit card
(Discover, VISA or Master Card),
in order to guarantee my dinner reservation.  *

An asterisk (*) means required field.


CLICK HERE FOR MORE INFORMATION ABOUT THIS EVENT 

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