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“BROADWAY BABES” CREATIVE THEATER WORKSHOPSREGISTRATION FORM
Name____________________________________________________
Age___ ( ) Male ( ) Female Phone # ____________________
Address ___________________________________________________
City _____________________________ State ______ Zip: _________
E-mail_____________________________________________
Please check the workshop or workshops in which you are interested:
( ) Workshop I ( ) Workshop II ( ) Workshop III ( ) Workshop IV
REGISTRATION FEES @ $350 EACH $ _____
handling fee = $4.00
TOTAL $_____ ( ) Check Enclosed
Charge to: ( ) Visa ( ) MasterCard
Print name on Credit Card: __________________________________
Credit Card Number: ______________________________
Expiration Date: ______/______ Today's Date: ______________
Signature (as on credit card) ________________________________
Mail form to: Westco Productions, 9 Romar Avenue, White Plains, NY 10605
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