Allegro Ice Dance Club

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Membership Application

Apply for Allegro Ice Dance Club Membership

To apply for membership in the Allegro Ice Dance Club, please fill out the form below and click Submit Application at the bottom. If this is a family membership, submit a separate application for each person. Membership fees are $40 for individual, $70 for family membership. We will provide bank details for payment of the membership fee, please do not send cheque or cash.

Title: 
First Name(s) *: 
Surname *: 
Email Address *: 
NZIFSA TC #:   (include TC Number if you have one)
Occupation *: 
Street *: 
Suburb/RD: 
City *: 
Region: 
Post Code: 
Country *: 
Phone (daytime): 
Phone (evening) *: 
Phone (mobile): 
Fax: 

* items marked with an asterix are required, others are optional.


Copyright 2004-2015 Allegro Ice Dance Club Incorporated. Photographs © Michelle Wojdylai (www.toeloopy.com.)