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 2021 ($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. This will also apply for 2020 lockdown month/s)

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

For further information contact: Helen Bary helen@gmail.com or Kerri Wickes kewickes@xtra.co.nz