Auckland Rock 'n' Roll Club
c/o 72a Paice Avenue
Sandringham 1025

          
I/We ................................................................................wish to Join/Renew membership of Auckland Rock'n'Roll Club

Attached is payment of $......................... being subscription for the year ending April 2023 ($20 per person)

Address:................................................................................................................................................................................

Phone:................................................                 Mobile:..............................................

Email:............................................................................................................................

Birthday Month - Please inform us of your birthday month and have free entry to the dance that month

.....................................
(January birthdays can choose their month)

Online banking option: Our account no: 12 3034 0656837 00
                                      Code:        Your name
                                      Reference: Subs

For further information contact: Helen Bary helen@gmail.com