PAYMENT BY CHECK # __________ ENCLOSED,
or CREDIT CARD ______, or PAY PAL _____
**(Minimum $85 order for CC OR PAYPAL charges)**
PAYMENT INFO BELOW MUST BE FILLED OUT COMPLETELY!!
PLEASE TYPE OR PRINT LEGIBLY
Name: ______________________________________________
Address: ____________________________________
City/State/Zip ________________________________________
Email: _______________________________________
Phone/FAX:_________________________ (Ph # must be provided!)
Name as it appears on your credit card: _______________________
We accept VISA & MC ONLY!! PAYPAL AVAILABLE. Thanks.
CC# ____________________________________ Exp Date ______
3 Digit Code from Back of Card: ____________
Signature: ______________________________________________
CC orders must include the cardholders full name, card number, expiration date, and authorized signature. Visa/MC accepted. REMINDER: $85 minimum charge.
Checks payable to: Belly Dancer of the Universe® Competitions (or BDUC), PMB 343, 5318 E. Second Street, Long Beach, CA 90803-5354
Tel/Fax 562 433 6615
Tonya & Atlantis, BDUC, The Long Beach Convention Center, and associates are not responsible for any loss, injury, death or accident, lost or stolen articles at or en-route to this event. Workshops/Competitions may be substituted/cancelled if necessary. We reserve the right to refuse admission to anyone, contestants, vendors, attendees. Sorry, NO REFUNDS.
Tonya & Atlantis & Bellydancer of the Universe® are in no way affiliated or associated with nor do they endorse any other competition. We do not agree to any prize or publicity exchange with other competitions or sponsors without formal written consent. Thank you. |