Waiting List Form

Please provide the following information:

"Subject"
Event?	Skipton_Nov_2008 or Bournemouth_Jan_2009
First Name(s)	* Mandatory fields
Surname	*
Address1	*
Address2
Town	*
County
Post Code	*

Telephone No.	*	Tel No. needed for phoning you should a vacancy occur.
Accommodation required.	*	Please state in order of preference: Single, Twin, or Double

Dietary Requirements
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	*


Print the above? "Ctrl/P"

OR

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

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

WAITING LIST REQUEST

DATA PROTECTION.