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 Midlands / 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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