HONG KONG TANGO ACADEMY
| Name: | English: …………………………………… | Sex: …………… | 
| Chinese: ….………………………………… | Age: …………... | |
| Telephone: ……………………....................... | ||
| 
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| Occupation: ……………………………..…........ | ||
How did you learn about the Hong Kong Tango Academy?
| Someone told you | Advertising Flyer (where): ……..................... | 
| Chinese Newspaper | Website | 
| HK Magazine | Other (please specify): ………...................... | 
| Type of Registration |  VIP Life Member: ** | $6,900 | 
| Fixed length course: | $ Varies | |
| 10 tickets for Friday and Saturday classes: | $1,400 | |
| Walk-In for Friday or Saturday class: | $180 | 
  ** VIP Life Members can attend all Friday classes and receive a 30%
discount for all other classes.
       After the first year there's an annual
subscription fee of $600.
        ...........................................................                      
       For the Hong Kong Tango
Academy                               
      Date......................................