New Customer Registration Form

Intro Class Sign up
Full Name*

First Name Last Name
E-mail*
example@example.com
Phone Number*
Do you have a Groupon ?*

YesNo
Which class are you interested in?*

Intro to Salsa on1 Monday 6PM- starts Nov 14thIntro to Bachata Wednesday 6PM- starts Oct 5th
If yes, please provide your 6-8 digit voucher number found underneath the bar code of your voucher:
My Products
prevnext( X )
Intro to Bachata
$40.00

Intro to salsa
$40.00

Total

$0.00
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Intro Class Sign up