The Light-hearted Dance Weekends

MAILING LIST REQUEST
Please provide the following information:

"Subject"
First Name *     Mandatory fields *
Surname *
Address1 *
Address2
Town *
County
Post Code *

Telephone No.
Interested in events in the South of England? yes no
Interested in events in the North of England? yes no
Where did you hear about us?
Other Comments?
email *
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OR

please print the form, complete as appropriate & forward to:

‘THE LIGHT-HEARTED DANCE WEEKENDS', 35 PIRRIE CLOSE, SHIRLEY, SOUTHAMPTON. SO15 7QA.


DATA PROTECTION.

 Our Customer list is held in a computerised form. It is used only for Folk Dance event purposes.
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