I Can Charleston - Beginners Class Booking Form - 20 Jan 2020
Start date: Monday 20th Jan 2020
Finish date: Monday 17th Feb 2020
Time: 7pm - 8pm
Venue: Jubilee House (The Marks Room), 74 High St, Madeley, Telford TF7 5AH

5 week course - £30
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Email *
Name *
Address *
Contact Mobile *
5 week course fee: £30
Bank transfers or cheque accepted. Details are as follows:
Please settle by Bacs:
HSBC
Account name: I Can Dance Shrewsbury
Sort code: 40-41-30
Account no. 72235382
Ref: 'Your name & ICCM Jan 20'
Or cheque made payable to 'I Can Dance Shrewsbury':
Ref: 'Your name & ICCM Jan 20'
Postal address
Mrs S A Bright
Forton Heath Cottage
Forton Heath
Shrewsbury
SY4 1HA
* Please note you are not booked on to the course until the course fee is received. On receipt of payment you will be sent a confirmation of booking and further class details
I give permission to appear in class photos and/or class video footage used for 'I Can Dance Shrewsbury' promotions. I am aware that the stated media may feature on the company website and on social media (Facebook, Instagram, Twitter). Thank you for your consent. *
Required
I am aware that I will be contacted by email regarding class news and upcoming events. *
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Thank you and we look forward to meeting you!
A copy of your responses will be emailed to the address you provided.
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