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Line Dancing Event Request Form

Contact Information

First name*

Last name*

Company name

Email*

Phone*

Event Details

Event Type*

Event Date*

Preferred Time*

Event Address

Country/Region*

Address*

City*

Zip / Postal code*

Line Dancing Class Preferences

Class Length*

Experience Level*

Multi choice*

Blues

Pop

R&B

Country

Gospel

Other

Do you need us to provide sound equipment?*

Yes

No

Additional Notes/Request

Agreement/Confirmation

I understand this form is a request only and does not guarantee booking. A confirmation will be sent once availability is reviewed.

ONLINE TRAINING - CORPORATE FITNESS - FITNESS JOURNEY- WEIGHT LOSS - MUSCLE TONE - CORE STRENGTH - STEP AEROBICS - CARDIO FITNESS

1.662.645.2255

info@mproveandmove.com

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