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| Raqs the Kasbah booking form |
| Name |
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| Phone |
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Mobile |
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| Email |
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| Please indicate the type of booking and numbers |
Adult
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$ 25 |
Numbers
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Concession (full time student, senior, unemployed) |
$ 22
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Numbers
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Child (8 yrs - 14yrs)
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$ 12
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Numbers
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| Child under 8 yrs |
FREE |
Numbers
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| Group Bookings - if you wish to be seated with a group please indicate the group booking name below |
| Please indicate the name/dance school group is booked under. |
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| Payment Options |
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| Please advise what method of payment you are using. |
| PayPal (credit card - please follow the links after submitting this form) |
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| EFT (you will be contacted with account details) |
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Cheque/Money Order (you will be contacted with payment details) |
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| Comments or Questions |
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