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DALLAS THAI MASSAGE

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REGISTRATION FORM

Sign up for:________________________________________Date:_______________

           _________________________________________Date:_______________   

Name:___________________________________________________________________

Address:________________________________________________________________

City:____________________________________________Zip____________________

Phone:__________________________________________________________________

Email:__________________________________________________________________

Signature:_______________________________________Date___________________

A 50% non-refundable deposit is required at the time of registration, with
the remainder of balance to be paid on the day of the class.
Please send check or m.o. payable to Dallas Thai Massage, 2828 Forest lane,
Suite 1010, Dallas, TX 75234
		     		  


Dallas Thai Massage ~ 2828 Forest Lane ~ Suite 1010 ~ Dallas, Texas 75234 ~ 214-358-3867