Survey Form Get $10

ON-Line Survey Form - 2011

Want to EARN $10 off on your registration for one of Encore's Competitions?

Help us to serve you better by answering a few questions

JUST LIKE MONEY $$$$$$$$$$$$$$$
The FIRST 20 students from each participating studio will receive a $10 certificate towards their
2011 entry fees. These certificates MUST BE turned into the studio for credit and MAILED in along
with the entry fees that the studio makes to Encore (2011) . All entries will be verfied!

Please check which Encore DCS Competition (s) you will be attending in 2011:
[check the box to the right of the city]

Myrtle Beach, SC Sparta, NJ Gatlinburg, TN Winston-Salem, NC Tampa, FL Macon, GA,
Rocky Mt, NC Rome, NY Fowlerville, MI Johnstown, PA Lenoir, NC Savannah, GA
Montgomery, AL Greenville, SC Norfolk, VA Lexington, SC New London, CT Asheville, NC
Southeast Grand Finals Charleston, SC Northeast Grand Finals (tba)

(Indicate 0 or NONE if not apply) * = REQUIRED FIELD

How many ENCORE DCS competitions have you attended in total: (* Required)

What would you like to see added to our Competitions (if anything):

What city or cities would you like Encore to hold a competition or Grand Finals?

What hotels do you stay at, or do you prefer to stay at or will be staying at when attending our competitions:

Any Hilton Brands: Hampton/Doubletree/Embassy, etc:

Competition City or Cities: Stay Date

Any Marriott Brands:Fairfield, Courtyard, Residence, Etc:

Competition City or Cities: Stay Date:

Any Holiday Inn Brands:

Competition City or Cities: Stay Date:

Any other brands or comments about accommodations:

Competition City or Cities: Stay Date:

Name of Dancer for This Certificate: *

Name of Studio: * City: *

Email Address of Student: *

NOTE: ALL INFORMATION will be kept confidential and will never EVE R be sold or given to third parties!!!

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