La Moye Dancing Club - Dancing in Jersey

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 La Moye Dancing Club Membership Application Form
The Secretary,
La Moye Dancing Club,
Le Petit Bijou,
Manor Court,
Off Undercliffe Road,
St. Helier.
Jersey.
JE2 3PS

Please admit me as a member to the La Moye Dancing Club and send me the Club Rules and Membership Benefits details.

Full Names

 
Address

 

 
POSTCODE:
Date of Birth:

 
Telephone Number:

 

A cheque for £6.00 enclosed payable to La Moye Dancing Club.

Signature

 

_______________________

 

Last modified: 23-Feb-2008