| BILL FOSTER BALLROOM DANCE STUDIO |
| In the amount of: ONE PRIVATE HOUR BALLROOM DANCE LESSON |
| FOR:___________________ FROM:_______________________ Date:__________________ _____________________________ Authorized Signature Not valid without authorized signature |
| Redeemable at: BILL FOSTER BALLROOM DANCE STUDIO WWW.BillFosterBallroomDanceStudio.com |
| Call in advance to schedule appointment. |