Individual Registration

Please enter information in the form below to process registration for event LATIN JAM Sundays.

Ticket Type	Price	Quantity
Ladies Styling - 1 Class	£10.00
Ladies Styling - 2 Classes	£18.00
Ladies Styling (2 Classes + 1 Regular Class)	£25.00
Ladies Styling (2 Classes + 2 Regular Class)+ 2 Regular Classes)	£30.00

Email *

Password*

Retype Password*

First Name *

Last Name *

Address

Address 2

City

Zip

Country

State

Phone

Comment

Amount

Payment Processing Fee

Gross Amount

Payment Method *

Debit/Credit Card

Bank Transfer - NO FEE

Credit or debit card*

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