Belly Dance with Nisaa

Belly Dance with Nisaa
A Thousand and One Nights
May 9, 2015 at 7:30 PM
Ticket Order Form
Name
Address
City
Phone
E-mail
State
Zip
Product
Price Each
Admission for A Thousand and One Nights
(5-9-15)
$10
Please note that tickets are nonrefundable.
Quantity
Amount
Enclosed
Mail your order form and payment to:
Please make checks* or money orders
payable to “Belly Dance with Nisaa.” Do
not send cash.
Belly Dance with Nisaa
PO Box 26992
St. Louis, MO 63118
Shukran…Thank you for your order!!!
Questions?
Visit: www.bellydancewithnisaa.com
E-mail: [email protected]
Call: (314) 599-0506
*Attention check writers: When you provide a check as payment, you authorize the processing of this
check as either a check transaction or a one-time electronic funds transfer from your account. If your
check is returned unpaid, you authorize the collection of a state-allowable fee and any other applicable
fees through electronic funds transfer from your account.