~ A Chapter of National Smooth Dancers since 1961 ~
~ CELEBRATING OVER 50 YEARS OF DANCING IN THE SAN FERNANDO VALLEY ~

featuring Ballroom, Latin, and Nightclub Dancing

ORDER FORM - SFV CORONATION SUNDAY, 12 NOV 2017

Please check if reigning queen

    Attending Saturday Dance?

AMOUNTS

Person (1)

NSD Chapter

Person (2)

NSD Chapter

Address

City, State Zip

 

Telephone

Email address

 

    ALL ORDERS INCLUDE BRUNCH
  CANNOT ORDER EVENING DANCE ONLY

      Sunday Coronation Brunch: $38.00
      Optional Saturday dance
            on the evening before: $14.00

  PLEASE FILL THE FORM COMPLETELY.
  PRESS SUBMIT WHEN FINISHED.
 

  Note:
  Payments are either by your PayPal
  account or by a choice of credit cards.
  Credit card payments do not require a
  PayPal account. All payments include
  a modest fee to offset processing costs.

  We will email you a confirmation note
  that summarizes this order.
 
 

Subtotal

Handling Fee

Total Amount