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Australian Bachata Championships



NSW BACHATA TITLES  – OFFICIAL ENTRY FORM

Thank you for your interest in the NSW BACHATA TITLES.
Please complete the following form and pay the amount of $25 per Category entered using one of the methods below.
If you have any questions, please feel free to contact us - info@vivamagazine.com.au


We assure you the information from this form will be kept strictly confidential!
Viva Magazine passes no email addresses or details to any other organisation

 

 NSW Bachata Titles – ENTRY  FORM   * Required fields 
  Payment details: * Direct Credit      Cheque     Money Order # of Categories Entered
  Date of Payment: *  
  Title:    
  First Name: *
Last Name: *
  Address: *

  City: * State: *  Post Code: *
  Telephone: Mobile: *
  Email Address: * Website:
 Category you areCompeting Professional      Non Professional     Team IF TEAM
Name of the Team?
IF TEAM
Name of the person in charge of the Team?
Number of Dancers in the Team?
 Dance Partner (full Name): * Partner Phone: *

Are you representing a Dance School or State? Name of School or State:

   
   

By entering this Championship, entrants accept and agree to be bound by the Official Rules

 

 

| Home | About Us | e-Newsletter | Subscriptions | Advertising | People Galleries | What's On | Events | Tickets On Line
| Editor | Cover Story | Feature | Local Talent | Dance Styles | Health & Beauty
| CDs Reviews | Travel | Fashion | Tango Pages | Regulars | Latino Scene / Links | Our Supporters
| Australian Bachata Championships | VIVA's Logo | Management