Reservation Form

Name(s):________________________________________________________

Address: _______________________________________________________

________________________________________________________________

Phone: __________________e-mail address: _______________________

Dance instructions? _________ (Also available on this web site.)

Hospitality:  Yes ____  No ____  Allergies? ____________________

Hotel/Motel Information? _______ Call Ames Convention and 
Visitors Bureau, 1-800-288-7450 
 
Others in Party? ________________________

Dinner will be a full buffet with meat and vegetarian choices
and salad bar. 

                                   Number of tickets

Cost:*   Ball/Dinner        ($38)      _______ 
                  
         Dinner (nondancer) ($28)      _______

         Dance only         ($25)      _______

         Friday Night Concert ($12)    _______

              Total cost  ________ 
      
Will you be attending the music workshop? Yes_____ No_____
Music workshop is co-sponsored by the Ames Commission on the
Arts (We have funding so this event is FREE!)

*ISU requires us to have a guest count by May 1, so we must add 
a $5 late fee to each registrationn postmarked after that date.

Please make checks payable to "RSCDS Central Iowa Branch" and
return to Gayle Hoepner, 413 10th Street, Ames, IA 50010.

Please include self-addressed stamped envelope for return
confirmation or for mailed dance instructions.