THE ROYAL SCOTTISH COUNTRY DANCE SOCIETY
YORK AND NORTH HUMBERSIDE BRANCH
Membership Application Form
Please use Block Letters Subscriptions due on 1 March 2008
Surname: Mr/Mrs/Miss/Dr/ ……………………………………………………………………… …
First Name(s): …………………………………………………………………………………… …
Address: ………………………………………………………………………………………… …
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Post Code: …………………………………. Tel: ……………………………………
E-mail: ……………………………………………………………………………………………
Annual Subscription: £18 ….... Current Long Term …….
Admin. Member: £3 ……. Current Life …….
If you are currently attending a weekly/monthly class ( es )/group, please give details below:
……………………………………………………………………………………………………… …
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If you wish to receive details of the following, please tick the appropriate boxes:
October Day School
Harrogate Weekend School
If you are a multimember household, do you want to receive only l copy of
The Scottish Country Dancer Magazine? Yes / No (delete as appropriate)
It would be helpful if ALL Members would complete and return this form to ensure that your personal details are correct. Members' details are held on a personal computer under Branch administration. If you do not wish your records to be stored in this way, please inform the Secretary in writing. Members' details are also stored on a database at RSCDS HQ.
Please send the completed form to the Secretary or your Committee Member together with the appropriate fee. Cheques should be made payable to RSCDS York and North Humberside Branch
Secretary:
Malcolm Brown
8 Copper Beech Close
Dunnington
York
YO19 5PY