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OLD 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: _____________________________________________ |
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