Free Movie Tickets

FREE MOVIE TICKETS!

Get Two Free Movie Tickets for referring a friend to Dalby Test Preparation.

To apply fill out the form at the bottom of the page.

The "referring party" means the person recommending Dalby. He or she is the person who receives the tickets. "Student" means the person taking the class. The student must agree that the referral credit belongs to the party filling out the form.

Tickets will be mailed within two weeks of the student registering and paying in full for any of the following classes:
Seven-week SAT class that begins in January 2010 for the March SAT.

ACT Class that begins in January 2010 for the February ACT.

Accelerated SAT class that begins in February for the March 2010 SAT.

Spring TJ Prep Class for 7th Graders.

Tickets will be issued once we have received the registration form and full payment from the student for the class. You do not have to be a former student of Dalby to be a referral source. You do have to fill out the form to receive the tickets.

Call Pamm at 703-356-2728 if you have questions.

All classes given at in McLean VA.

Offer limited to the number of seats available. (Approximately 100 pairs of tickets.)

Free Movie Tickets Application

Please note that all fields followed by an asterisk must be filled in.

Referring Party's Full Name*
Referring Party's Full Name*

Phone # (best number for messages)*
Phone # (best number for messages)*

E-mail Address*
E-mail Address*

Street Address*
Street Address*

City*
City*

State/Prov*
State/Prov*

Zip/Postal Code*
Zip/Postal Code*

Full name of person taking class*
Full name of person taking class*

Contact email or phone for student taking class to confirm application

How did you hear about Dalby's movie ticket offer?

	Ad in school's newspaper
	Dalby's website
	Google Ad
	Friend
	Other

Have you used Dalby's services?

	Yes, I took a class.
	Yes, I had private tutoring.
	Yes, but just for academic.
	No, but a friend said it was great.
	No, but I'd like some free tickets.

Tell us a little more about yourself.

	I am a junior.
	I am a senior.
	I am a college student.
	I am a counselor.
	I am a parent.
	Other

Class that student wants to take

	February ACT
	March SAT
	April ACT
	May SAT
	June SAT
	June ACT
	September ACT
	October SAT
	October PSAT
	December TJ admissions test
	TJ prep class for 7th graders
	Other Class (explain below in comments)

I understand that the student must pay in full before the movie tickets are issued. *
I understand that the student must pay in full before the movie tickets are issued. *

	yes
	no

Comments

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