|
Dance St Helier – Membership Form
Name ……………………………………………………………
Address ……………………………………………………………
……………………………………………………………
……………………………………………………………
……………………………………………………………
Tel: Home ……………………………………………………………
Work ……………………………………………………………
Mobile ……………………………………………………………
Email ……………………………………………………………
Senior Citizen Yes/No
Attached membership fee £10.00
|