Shimmy Tecumseh 2010
Fill out and mail or email the following form:
Name: __________________________________ phone # ___________________________
Address: _________________________________________________________________________
Email _____________________________________________
|
Event
|
Quantity and details
|
Total
|
|
Full Workshop-$295/$350
A La Carte Workshops
$30 per 2 hour session
$20 per 1 hour session
Saturday/Sunday only $90 each
Meal Plan Fri, Sun $15 each
Meal Plan Sat $20
full weekend $50
|
I need vegetarian meals _____
Workshop(s)if not full pkg:
|
|
|
Friday night Hafla Tickets $10
|
|
|
|
Saturday Performance Tickets $18
|
|
|
|
Video $35
|
|
|
|
Extra Event T-shirts $15
|
Size_________ Qty _________
|
one t-shirt included: indicate size
|
|
Camping site for the weekend*
Rustic-included
|
|
|
|
Vending Space: $100
|
|
Total enclosed: ____________
|
Visitors are welcome as well at $3 a day. Contact us with questions or if you need special arrangements. You will receive
a pass in your email once registration is confirmed (so you won't pay the $3 extra).
I would like to perform in Friday Night’s Hafla __yes __no___
I am a performer in Saturday’s show ___yes_____no____
I am interested in being a vendor ___yes_____no____
Paypal is available for those who wish to use credit or debit cards. ____To use PayPal please use link on PayPal page and add $5 for fees.
Payment plans are available with $100 deposit. Contact Amira Star at Mesmerizebellydance@yahoo.com for details
All others send check and form to :
Mesmerize Shimmy Retreats
C/O Tiffany Adamski
501 Wood Street
Delta, OH 43515
Please make checks out to Tiffany Adamski
Contact Amira Star at 419-345-1189 or Mesmerizebellydance@yahoo.com
Once registration is received you will receive a confirmation email with directions and updated information on the event.
