projet tango - MEMBERSHIP FORM  2010

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:  $27                                                                                            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, 643 Notre-Dame West, Montréal, Qc.    H3C 1H8

studio

TANGO

montréal

     projet tango

     info and registration form

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