FRIDAY OCTOBER 15th 2010

STARRING

SMITHS DANCING SCHOOL

TEACHERS & STUDENTS

FEATURING

BALLROOM & LATIN SHOWCASE

DINNER & DANCING

TIME: 8:00pm - 12:00 MIDNIGHT

ADMISSION: $50.00 PP

Reservations Only By October 11th 2010

PLEASE PRINT, FILL-OUT AND MAIL THE RESERVATION FORM TO

SMITHS DANCING SCHOOL 26 BROADWAY HAWTHORNE NY 10532

NAME:

PLEASE ACCEPT MY RESERVATION CHECK IN THE AMOUNT OF

$............................... FOR ..................... PERSON(S). Checks made payable to Smiths Dancing School

ADRESS:....................................................................................................................

PHONE:.................................................... EMAIL:.......................................................

PARTICIPANT:............................................... TEACHER NAME:..................................

CHICKEN MARSALA:......... OR EGG PLANT ROLLATINI:.........

(Pick one please or write number for each selection if more than 1 person)