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Name_____________________________________ Company Name_____________________________ Address___________________________________ City, St, Zip_________________________________ Phone_____________________________________ E-mail_____________________________________ Webpage____________________________________ Print this form and mail with $15 deposit to: Anita Strumillo 1731 N. 78th Terr. Kansas City, KS 66112 Phone: (913)299-1453 Make checks payable to Aidas Dancers. |