The event is Sunday, Oct. 7th at Clarion Inn and Suites (4219 E. Waterloo Rd.) from 2 -8 pm.

Enter your information on the form below, print, enclose payment, and mail it to:
Ballroom Bootcamp 1299 Lloyd Thayer Circle Stockton, CA 95206
Payment must be received by 9/23/12.
You will receive an email confirmation & your ticket(s) will be held at will call.
Contact Person: ____________________________________________
eMail Address: ____________________________________________
Message Phone Number: ________________________________
Name of individual purchasing Ticket 1: __________________________________________
Name of individual purchasing Ticket 2: __________________________________________
Total Number of Tickets purchased @ $65/ticket: ______
Total Amount Enclosed: $ __________