20100212_BreadAndRosesRegistration

February 12, 2010 - Cleveland Bread and Roses Dance Registration

The Bread and Roses Valentine's Dance will be held on Friday, February 12th at the Cleveland SEIU/District 1199 Union Hall at 1771 E. 30th Street from 7:00 p.m. to 11:00 p.m.

Couples and Singles are all invited to stop in for an evening of fun, food, drinks and dancing.

Music will be provided by our own DJ Jammin' Josh.

Admission is FREE!

Registration is limited so if you sign up, please make every effort to attend. If you have any questions, please call 216.566.0117 and ask for Kentra Kostiha.

PLEASE NOTE! YOU MUST BE 21 YEARS OLD TO ATTEND.

Question Title

*
Please provide the following information to complete your registration.

Name: *

Chapter (this is the name of the place that you work, not SEIU 1199): *

Address:

City/Town:

State:

ZIP:

Personal Email Address:

Home Phone Number: *

Question Title

*
Will you be bringing someone with you to the Dance?

Yes

No

If Yes, Please list their name(s) here:

If you have any questions about this event, please contact Kendra Kostiha at 216.566.0117.