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Workshop Registration

We accept cash, check, and PayPal. Workshop registration fees are non-refundable. After we receive your payment, you will receive a confirmation email. Any bounced checks are subject to an additional $20 fee. If you have any questions, send an email to sahira@synergyrad.com or call 309-530-7403.

Registration Option 1.
Mail a check


Print and fill out the workshop registration form. The registration form is in PDF format, which you can access using Adobe Reader. If you do not have Adobe Reader, you can click here to download it for free.

Send the form and your check payable to Synergy RaD to:

Synergy Rhythm and Dance
510 E. Washington Street, Suite 216
Bloomington, IL 61701

Registration Option 2.
Online via PayPal (with a credit card or PayPal account)

Tribal Bellydance
with Dark Side Tribal
late registration
after 10 October 2010
$40

Your Name
 







Energy, Artistry, and Empowerment

Synergy Rhythm and Dance 510 E Washington Street, Suite 216, Bloomington, IL 61701
synergy@synergyrad.com (309) 530-7403
© Synergy Rhythm and Dance