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FEDERATION OF DANCE SPORT SOUTH AFRICA

FEDANSA – PAB KZN
Phone (033) 386 2284 --- Fax (033) 346 2541
Cell 083 308 7313
90 Trelawney Road
Fairmead
Pietermaritzburg
3201		 PO Box 36817
NTOKOZWENI
4066

APPLICATION FOR FEDANSA COUPLES TO PERFORM A DEMONSTRATION – 2000

Date of Application

      

Name of Couple/s

  

Cloth Number

  
   
   
   

Name of Function

  

Date of Function

  

Contact Person

  

Telephone No

  

Brief Description of Function and what demonstration entails
 
 
 
 
 
 
 
 
 
 
 

Signed_________________________________________

For office use only

Date permission granted______________________________

Payment offered/not offered Y / N

NB Minimum of R250-00 per couple – this is held in trust in
FEDANSA, KZN-PAB
First National Bank, Hayfields Branch 221-425
A/C Number 50800019610
At least two weeks notice should be given

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