Pre-registration form

Pre-registration prices for 5 week series and Practica:
   $50 Harvard affiliates or students/$60 General public (Beginner /Adv. Beginner Series)
   $50 Harvard affiliates or students/$60 General public (Intermidiate Series)
   $90 Harvard affiliates or students/$120 General public (two series)

First Name :
Last Name :
E-mail :
Gender:	Male Female
Student or Harvard affiliate:	No Yes
Pre-register for:	Beg./Adv. Beginner Int. Both
Previous tango experience	None 1-6 months 6+ months
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