Salsa Lessons in Chicago - Learn Salsa, Mambo ChaCha & More at Latin Rhythms Dance Studio

JULY/AUGUST 2010 Class Schedule & Registration

Today is

Classes start MONDAY, JULY 19TH, 2010

210 N. Racine
Chicago, IL 60607

312.73.DANCE
312.73.(32623)

YES! I want to dance with more passion, style and confidence!
Please reserve my spot in the following class(es) below:

Studio A "Cinnabar Room"

Studio B "Green Pea Room"

Studio C "Chateau Room"

Your Dance Experience

I am a:	Female
	Male

How did you FIRST hear about Latin Rhythms?

I am:	A Latin Rhythms Student
	New to Latin Rhythms - Studied Elsewhere
Please tell us where you studied:
	Completely New to Latin Dancing

Membership

* Latin Rhythms' Members enjoy 25-50% discounts on all classes! Click here to learn more!

NON Members	GOLD Membership	PLATINUM Membership
I am a NON Member and wish to enroll in class only	I'm an active GOLD Member! (Charge me only $48.75 per class!)	I'm an active PLATINUM Member (Charge me only $32.50 per class!)
	I wish to ENROLL as GOLD Member today! ($120 annual fee - includes your first class FREE!)	I wish to ENROLL as a PLATINUM Member today! ($240 annual fee - includes your first 2 classes FREE!)
	I wish to RENEW as GOLD Member today! ($99 annual fee - includes your first class FREE!)	I wish to RENEW as a PLATINUM Member today! ($199 annual fee - includes your first 2 classes FREE!)

Here is my Personal Information:

Student First Name:
Student Last Name:
Email:
Confirm Email:
Yes, please include me on the Official Latin Rhythms Mailing List
Phone:
Address:
City:
State:	Zip:

(Optional) ADD ANOTHER STUDENT...YOUR credit card will be charged for this additional student.
Partner Full Name:
Partner Email:
Partner Phone:
Yes, please include me on the Official Latin Rhythms Mailing List
Partner Address:
Partner City:
Partner State:	Partner Zip:

Here is my Billing Information:
(Contact Info above MUST match billing address for the credit card info below)

Payment Type:		Expiration:(MM/YYYY) /
Cardholder's Name:
Card number:	e.g., 4123-4567-8910-1234
Card Verification Number:	(Three digit number on the back of your credit card, on the right side of your signature)

Billing Notes

Your Credit Card Bill will show a charge from Latin Rhythms Dance.

$65.00 per class for NON-Members
$48.75 per class for GOLD Members
$32.50 per class for PLATINUM Members

* I authorize, Latin Rhythms Dance permission to charge my credit card for the cost of class(es), membership(s) and/or ALL registrant(s) registerd for above class(es).

* If you are enrolling in a Gold Membership for the first time, you will be charged a one-time annual fee of $120. This includes your first classs FREE! Every other class from then on, will be $48.75 per class.

* If you are enrolling in a Platinum Membership for the first time, you will be charged a one time annual fee of $240. This includes your first AND second classs FREE! Every other class from then on, will be $32.50 per class.

* If you are renewing in a Gold Membership for the first time, you will be charged a one-time annual fee of $99. This includes your first classs FREE! Every other class from then on, will be $48.75 per class.

* If you are renewing in a Platinum Membership for the first time, you will be charged a one time annual fee of $199. This includes your first AND second classs FREE! Every other class from then on, will be $32.50 per class.

* Each class includes 4, one-hour sessions which meet once a week for 4 weeks. For example: If you sign up for Basic Salsa on Tuesday 6:30-7:30pm, you will meet every Tuesday at 6:30-7:30 for 4 weeks.

Please note that we respect your privacy and will hold your information for LRDS records only.

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