Earth Movement

Mailing List Application Form

 

Fields with an * are required

*Name

*E-mail

(This will be our primary method of contact.  We value our partons privacy and will not disclose this information to any third parties or companies)

Mailing Address 1

Mailing Address 2

Mailing Address 3

City   State  Zip Code

Home Phone 

Work Phone

Main areas of interest (Please check all that appeal to you!)

Bellydance Classes

Bellydance Workshops

Folkdance Classes

Folkdance Workshops
African dance Costuming Dancing with Props Folkloric/tribal dance
Andalusian/Flamenco dance Cultural Studies Haflas (Bellydance parties) Showcases and dance events
Percussion and Instruments Dance Theatre performance Solo Performing Troupe Performing

 

Any additional Comments or information

 

REMOVAL FROM THE MAILING LIST

If at any time you wish removed from this list please just send us an e-mail with the word REMOVE in the subject line and you will receive no further e-mails, or any other unsolicited contact from Earth Movement.  PLEASE DO NOT USA A SPAM BLOCKER to stop the e-mails as this causes us problems with our server.  Your request to be removed will be honored immediately.