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ShareOLD Sixers Dancers Pre-Audition Workshop Application
PERSONAL
Name: ____________________________________________________
Address: __________________________________________________
City: _____________________________________________________
State: ______________________ Zip: ________________________
Home Phone: ________________ Work Phone: ________________
Cell Phone: _________________
Email Address: ____________________________________________
Birthdate: ___________________ Age: ______________________
APPLICATIONS ARE STILL BEING ACCEPTED... YOU MAY BRING YOUR APPLICATION TO THE WORKSHOP BUT ONLY CASH WILL BE ACCEPTED
If you have any questions, please contact Kathy Drysdale.
Please mail applications with payment to:
Sixers Dancers Pre-Audition Workshop
3601 South Broad Street
Philadelphia, PA 19148
Acceptable forms of payment are either check or credit card. Please makes checks payable to Philadelphia 76ers. We accept the following credit cards - American Express, MasterCard or Visa.
If you choose to pay by credit card, you can fax the application along with credit card info to Kathy Drysdale at 215-339-7615 and include the following information: Card type: _____________________________________
Name on card: __________________________________________________
Credit card number: ____________________________________________________
Expiration date: _____________________________________________________
Signature: _____________________________________________
Name: ____________________________________________________
Address: __________________________________________________
City: _____________________________________________________
State: ______________________ Zip: ________________________
Home Phone: ________________ Work Phone: ________________
Cell Phone: _________________
Email Address: ____________________________________________
Birthdate: ___________________ Age: ______________________
APPLICATIONS ARE STILL BEING ACCEPTED... YOU MAY BRING YOUR APPLICATION TO THE WORKSHOP BUT ONLY CASH WILL BE ACCEPTED
If you have any questions, please contact Kathy Drysdale.
Please mail applications with payment to:
Sixers Dancers Pre-Audition Workshop
3601 South Broad Street
Philadelphia, PA 19148
Acceptable forms of payment are either check or credit card. Please makes checks payable to Philadelphia 76ers. We accept the following credit cards - American Express, MasterCard or Visa.
If you choose to pay by credit card, you can fax the application along with credit card info to Kathy Drysdale at 215-339-7615 and include the following information: Card type: _____________________________________
Name on card: __________________________________________________
Credit card number: ____________________________________________________
Expiration date: _____________________________________________________
Signature: _____________________________________________
