projet tango - MEMBERSHIP FORM 



Name:__________________________________________________



Address:______________________________________________City:____________________________________Postal Code:__________________



Telephone (home):__________________________________                (office)_____________________________________



Email:_____________________________________________________



I would like to become a member of projet tango


OR


I already am a member, I would like to renew my membership.



I select the


  • carte régulière:  $29                                                                                           date: _______________________________________



  • carte plus:   $43                                                                                    signature: ___________________________________________


Please mail this registration form with a cheque made out to projet tango  for the amount corresponding to your

membership to:   projet tango, c/o Studio Tango Montréal, 7755 boul. St-Laurent, #200, Montréal, Qc.    H2R 1X1

studio

TANGO

montréal

     projet tango

     info and registration form



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