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FEDERATION
OF DANCE SPORT SOUTH AFRICA
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KWAZULU NATAL
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REGION
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P O BOX 1336 DURBAN
- 4000
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Application for
Membership 2000
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| SURNAME |
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| FIRST
NAMES (AS PER I.D. BOOK) |
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| NAME
(KNOWN AS) |
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| TITLE(MR
/ MRS / MISS / MASTER) |
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| ADDRESS |
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| POSTAL
CODE |
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| TELEPHONE
& CODE |
WORK
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HOME
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CELL
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| OCCUPATION |
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| I.
D. NUMBER |
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| DATE
OF BIRTH (Month/Day/Year) |
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| CLUB
/ STUDIO |
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| PARTNER
(FIRST NAME & SURNAME) |
STD
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L/A
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| STATUS
(BRONZE / SILVER / GOLD ETC) |
STD
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L/A
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| PLEASE
MARK WITH X |
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DANCER |
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NON-DANCER |
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| I
HEREBY APPLY TO JOIN
..
FEDANSA
.....
.AND AGREE
TO ABIDE BY THE RULES & CONSTITUTION (COPIES OF WHICH ARE AVAILABLE
FOR INSPECTION) |
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SIGNATURE
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1999 cloth number
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DATE
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PLEASE NOTE THE
FOLLOWING AGES - ANNUAL SUBSCRIPTION FEES - 2000
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| 1)
R20-00 |
JUV
- 1989 (11YRS)JNR
- 1988 (12YRS) / 1987 (13YRS) / 1986 (14YRS) / 1985 (15YRS) |
| 2)
R30-00 |
YOUTH
(1984/3/2), ADULT (1981..),
SENIOR (1965..)
& NON DANCING MEMBERS |
| 3)
R50-00 First time registration |
NB
New Members Only. A certified copy of your
Identity Document / Birth Certificate |