Membership form to be completed copied and mailed to:
 

Sabira Jane Ruehmkorff
8 Lucinda Ave
Springwood 2777


 
Cheque made out to Dances of Universal Peace Australia Inc.




Name:    
Address: 
Postcode:
Phone:    
Fax:        
Email:     

$25 Friend - not international member
$80 General
$60 concession
$100 Family
$1000 Life Membership