1920s Tango Registration
Thankyou for supporting my major fundraiser for research, awareness and cure of Cancer. My goal is to raise $3500 for Tour de Cure which is now in its 10th year.

Please complete the form below to register for the 1920s Tango in the Blue Mountains. Registration and payment by Tuesday 29 March is preferred. However after this date feel free to enquire at kgarnett01@gmail.com.

Tickets for The Carrington 1920's Tango is limited to ensure comfortable seating and dance space for everyone. Tickets for solo followers are now moving to a waitlist to ensure a reasonable ratio of leaders/followers.

I therefore offer a discount rate if registering as a leader and follower. $5 off the full rate for each person.

Please note that you can only register one person on each form - please complete a separate form for each person you are booking for. Feel free to make one payment for all participants - and note this on the registration form.

First Name *
Please enter your first name and surname in the separate boxes provided.
Your answer
Surname *
Your answer
Which city are you from? *
Your answer
Email address *
Your answer
Contact Number *
Your answer
Are you a member of any of the following organisations? *
Are you a leader or follower? *
Being a fundraiser, I want you all to come, however we've all been to events where there are significantly more followers than leaders, and we've all seen and felt the frustration as well. If you've found a leader to register with, brilliant! If registering solo, then please, Complete your Registration!

As leaders register and the balance returns, you'll receive a confirmation of your registration for payment. I'll let you know as soon as possible so you can make arrangements for the weekend. Its looking pretty good at the moment.

Which 1920s Tango package are you booking for? *
The members' price applies to current financial members of Tango Synergy, the Tango Social Club of Canberra and affiliated tango clubs. The Package price covers all events except dinners and accommodation. Please feel free to take off $5 per person if registering as a leader/follower.
Would you like to buy Raffle tickets now for some great prizes drawn on the night?
Save all your time for dancing, buy your raffle tickets now and you will receive these at the door on arrival. Check out the amazing list of prizes on offer here: http://1920stango.weebly.com/sponsors--prizes
Dance partners
In order to ensure a fairly even mix of leaders and followers at 1920s Tango, we encourage followers to book with a leader if possible. It just adds to every ones enjoyment if there is a reasonable balance. Please ensure the person named below also submits a separate registration form to confirm their attendance.

Please note: All followers registering solo, will go on a wait list on a first come first serve basis, until there is a balance of leaders to followers.

Are you registering with a partner *
Dance partner
Please provide the name of your dance partner
Your answer
Do you think you will attend any of the following?
This will help us estimate attendance at each activity
Payment must be received by 29 March 2016 to confirm your booking. (Don't forget to include your raffle tickets).
Payment by direct debit transfer is preferred.* Bank details are:

BSB: 082024
Account no: 824829452
Account name: Karen Garnett
Bank: NAB

Transfer the required amount online to the above account. Please include the word '1920s' and your surname in the transaction reference eg '1920sGarnett'. You can pay for more than one person in one transaction but please submit separate registration forms for each person. You will be able to return to these details once you have submitted this form if you prefer to pay after completing the registration.

* If you are unable to pay online, please email kgarnett01@gmail.com to arrange an alternative method of payment.

Please provide the full name(s) of anyone other than yourself that you are paying for.
Remember that separate registration forms need to be completed for all 1920s Tango attendees.
Your answer
Submit this page, and your registration is complete!
You will receive a confirmation email. All tickets will be held for collection at the 1920s Tango event. If you are concerned that your registration has not processed properly you can contact us via the Contact Us form.

Thank you for supporting this fundraiser, I look forward to seeing you at the 1920s Tango in the Blue Mountains!

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