Name ...............................................................................................
Address ...........................................................................................
Post code .......................................................
Telephone (day)....................................(eve).....................................
E-mail address ..................................................................................
Which course are you applying for? (Please tick)
Beginners ...... Improvers ......
The Lindy Hop Course costs £52 each or £28 each if paying in two instalments. Please make cheques payable to Brighton Jive Promotions, and post to
Brighton Jive Promotions, 36 Robertson Road, Brighton BN1 5NL