Print this attendance form, fill in and send in with your
payment, payable to:
YALLAH DANCE, INC.
282 Magnolia Avenue
Unit# 6
Jersey City, NJ 07306
(Please print. All info will be kept confidential)
First Name: _____________________________________
Last Name: _____________________________________
Email: _______________________________________________
Mailing address:
Street: _______________________________________ Apt.# _________
City: ___________________________ State: ______ Zip:___________
Phone: ________________________ (emergency purposes only)
Event: DEC
4, 2005 -"2005 Holiday Party featuring Shamira & Elena"
Cost:
$55.00 per person paid in advance.
At the door, $65 cash, subject to seat availability. Walk-ins, call Angeline first at: 201-320-5652,
as entrance will then be subject to seat availability. No Refunds.
Amount of payment enclosed: __________
Number of attendees in your party: __________
Kindly specify the other names in your group below, use separate paper if needed:
_______________________________ , _______________________________
_______________________________ , _______________________________
_______________________________ , _______________________________
(If you drink, please don't drive. A friendly reminder from Yallah Dance Inc.)