Contact Name:               

Dancer's Name(s):          

Phone:                            
Email:                             
 

Sylvania Show Only $25   (Pick up @ Bedford, or we will call you for charge info if you want it mailed for $2 more)

Bedford Show Only $25   (Pick up BDA, Act I or II available separately for $15, specify this option below.  We will call you for charge info if you want it mailed for $2 more)
 

 Please indicate below if you will be ordering additional copies, and please give mailing address if copy is being mailed.