SwingandSoul.com | Registration

REGISTRATION IS OPEN!

First 50 people $99
After First 50 thru September 30th $119
October 1 - October 31st $129
November 1st - November 30th $139
December 1- December 5th $149

Swing and Soul 2010 Registration form

Part 1: Registration information

Please fill out the following information. Fields marked with * are required.

First Name: *

Middle Name:

Last Name: *

E-mail: *

Confirm E-mail: *

Gender: *

Address:

City: *

State: *

Country: *

Zip Code: *

Contact Number:
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Part 2: Housing information

Housing: *

Part 3: Payment information

Current Total:Early Registration Price: $99.00 until September 30, 2010. International*/Student Price: $99.00 (must show a valid international or student ID) An additional fee of $5 will be added if using Paypal.

* International Discount: the discount is intended to help offset the costs for anyone traveling to Swing and Soul, coming in internationally. Travel docs or a foreign ID will be accepted as proof.

Select payment:
I am a student:
Traveling from outside US: