Registration form :
Music and Dance Tour to Egypt 2005

Numbers are limited, so reserve your place now. Registration is easy :

If you would prefer, you may print this form, complete it, and mail it to Hala Dance with your check or money order

Registration form :
Music & Dance tour to Egypt 2005

**Full Name :
**Departure City:
**Address :
**Telephone :
**Email :
Number of people  
Dancer(s) :
Musician(s) :
Instrument :
$ ($1750 per person)  
** Total Amount
How did you hear about this event (check all that apply) :
Friend || Internet || Flyer or Printed Material || Other (please specify in comments below)
Special requirements or comments :
Please check you have filled in all the required fields (marked **) before clicking on the submit form button.