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)