Zumba Registration
Name of Participant *
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E-mail Address *
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Telephone Number:
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EXERCISE FOR A CAUSE - SUPPORT ANCOP USA PROGRAMS DATE: SATURDAY, JULY 6, 2019 TIME: 5:30 AM DONATION: $10.00/PARTICIPANT
METHOD OF PAYMENT
DONATION PAYMENT AT THE REGISTRATION BOOTH
FOR ADDITIONAL INFORMATION:
CONTACT PERSON: ELIZABETH MACARAEG
EMAIL ADDRESS: ELIZAMAC1228 @ GMAIL.COM
TELEPHONE #: (201) 832-7682
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