Membership application

 
Title:
First name:
Surname:
Address 1:
Address 2:
Address 3:
Town/City:
County:
Postcode:
Email address:
Telephone:
Professional/Acedemic Qualification(s):
Type of Membership:
Duration of Membership:
Method of Payment:
 

 

Payment:

By Cheque:
Please make payable to EADH and send to:
EADH
41 Talma Gardens
Twickenham
Middlesex
TW2 7UR

Bank Transfer:
Please transfer to this account:
HSBC Bank PLC
Twickenham Branch
2 London Road
Twickenham
TW1 3RY

Name of Account: European
Association of Dance Historians
Current Account
Sort Code: 40-44-39
Account No. 91604392
IBAN: GB21MIDL40443991604392
BIC: MIDLGB2160K

Standing Order Mandate:
We will contact you to organise