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“BROADWAY BABES” CREATIVE THEATER WORKSHOPS

REGISTRATION FORM

 

Name____________________________________________________

 

Age___    (   ) Male   (   ) Female   Phone # ____________________

 

Address ___________________________________________________

 

City _____________________________ State ______  Zip: _________

 

E-mail______________________________________________

 

Please check the workshop or workshops in which you are interested:

 

(  ) Grease     (  )  Disney High School Musical 2

 

                          REGISTRATION FEES @ $350 EACH $ _____

 

                                                            handling fee = $5.00

                                                                                

                                                                      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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