Katia of Boston Workshop Registration

Please complete the form below, press continue, and then pay by Paypal or by check. If Paying by PayPal, please add $2 for service fee (they charge me approx 3%). Important: If paying by paypal, use this e-mail address: Shari at sabahdance.com (replace "at" with the @ symbol) Thank you, Sabah

First Name Last Name Company Name Address 1 Address 2 City State or Province Zip Code Country Email Address Re-Enter Email Address Phone Number I will pay by... Amount I will pay Payor Name, if different from participant Payor Email Address, if different from participant Re-Enter Payor Email Address

Middle Eastern Dance Experience Beginner Intermediate Advanced

Comments I would like... My music choice for performance is