Booking Form

Booking Form for

Tango Weekend Seminar 16th July

at The Light Temple
with
Stefano Fava and Gisela Vidal

Name and Surname:

Male Female

Name and Surname of your partner
please put N/A if you book individually

Male Female

E-Mail for one partner of the couple:

Daytime Tel Number

Evening Tel Number

Fees:
1 workshop £ 20
both workshops £ 35
Book before Sat 2nd July £ 30

I will pay by bank transfer	I will pay by cash
Bank Details: Account Name: Tango in Action Account Number: 309 76 326 Sort Code: 20 41 41 Reference: Your Surname	You can pay by cash during one of our weekly classes.

In order to secure your place, please make sure your payment reaches us within 4 working days from the day of the booking.