Victorian Ball Registration Form - February 29, 2020
If you just finished paying via PayPal, your payment was successful, please fill out this form!

Pre-Ball lesson is FREE for anyone purchasing a ball ticket! Refer to payment and details on our website http://trianglevintagedance.com.

Note that we don't send out tickets, rather your name will be on a roster at the door.

After filling out this form, please mail your check or send a Paypal payment using the buttons on our website:
Triangle Vintage Dance
c/o Chris Imershein
5016 NC Highway 86
Chapel Hill, NC 27514

*At-The-Door: cash or checks only (no credit-cards or PayPal)
Full Name *
Your answer
Email *
Your answer
Other people in your party (please also indicate if they lead/follow or dance both roles)
Your answer
Please indicate your preference & which role you will take at the dance *
Phone (used in case of inclement weather) *
Your answer
Are you a student?
If you are a student, what is your school?
Your answer
How did you hear about the ball?
Your answer
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