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Dartford and District Pipe Band
New Member Application Form 

Name:          
Address:       
Town:          
County:        
Postcode:      
Phone Number:  
Fax Number:    
E-mail Address:


Please select the instrument that you play:

Bagpipes: Side Drum: Tenor Drum: Bass Drum:


Select your ability level:

Grade 1: Grade 2: Grade 3: Grade 4: Novice:

Other Instructions or Comments:

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