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Booster Dance Form
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Gillian Chase: e-mail ulborn77@msn.com
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Please print a copy, fill in the information and mail to Booster Dance Coordinator: Gillian Chase 13302 Kelsey Court, Woodbridge, VA. 22193 703-590-3168 OR Bobby Fuhr 15529 Quince Ridge Lane, Gaithersburg, MD. 20878 OR Donna Klaiss 1570 Dranesville Rd. Herndon, VA 20170
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Bobbi Fuhr: e-mail: jrfuhr@verizon.net
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Donna Klaiss e-mail: rdrt4kl@cox.net
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Club Name:______________________________________
Booster Dance Date and Time:_____________________
Caller/Cure/Prompter name(s) for this dance:__________________________________
Dance Location:_______________________________________________________________
Directions to booster dance:____________________________________________________ ____________________________________________________ ____________________________________________________
Name of Club's contact person for this dance:___________________________________
Telephone and e-mail address:_________________________________________________
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