Please fill out the registration form below and send to: Alexis White - L.A. Tango 7757 Louise Ave. Northridge, CA 91325 For more information please call (818) 758-9167 / 606-5895 or e-mail latango@hotmail.com or visit our website www.losangelestango.com REGISTRATION FORM NAME: ____________________________________________________________________ ADDRESS: _________________________________________________________________ CITY, ZIP: _______________________________________________________________ PHONE: ___________________________ E-MAIL: _____________________________ AMOUNT: ________________ (PLEASE INDICATE CLASSES YOU WANT TO TAKE)