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Membership Application Form

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Title : Mr Ms Mrs
Name :
Date of Birth :
Address :
Tel No :
Email :
Password :
Confirm :

Membership Category

Individual Applicant

Professional Member ( Please enter your professional qualifications in the table below. )
Non-Professional Member
Student Member

Institution Applicant

Studio that employs only professionally qualied teachers
Academy that employs only professionally qualied teachers

Types of Dance

Latin
Modern
Chinese dance
Other forms of dance

I hold the following qualification(s), and would like to apply for membership of the WDTA

*If you apply as a Professional Member, please fill the following table at least one item.

	QUALIFICATION	DATE ATTAINED	text_ASSOCIATION
1
2
3
4

QUALIFICATION
1
2
3
4

DATE ATTAINED
1
2
3
4

ASSOCIATION / UNIVERSITY
1
2
3
4

Date

:

Payment : Please send a cheque with your first membership fee (HKD/RMB) to the following address:

Room 2503B, 25/F, K. Wah Centre, 191 Java Road, North Point, Hong Kong

Please make the cheque payable to “World Dancesport Teachers’ Association Limited”

Enquiry Tel: 2368-0273 Email: wdtahk@yahoo.com.hk

Official Website: www.wdtahk.org

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