CHOOSE
Please use BLOCK LETTERS throughout
YOUR Title Mrs Ms Mr Other
FREE GIFT
First name
Select ONE of
Family name
the following
exclusive dance
Address
CD albums:
Higher &
Town
Higher
County
Brother
Louie
Postcode
Happy
Daytime tel. no.
While stocks last
Radio
Email address
Crazy Foot
Mambo
Please start with issue:
Rebel
Amore
Charanga
Instruction to your Bank or
Building Society to pay by Direct Debit
Joining the UK’s
Please fill in the form and send to:
Linedancer Magazine, FREEPOST NWW2882A, Southport, PR9 9ZY
largest Line
Service User Number
dance community
Name and full postal address
of your Bank or Building Society
4 1 1 2 6 7
also gives you
To: The Manager Bank/Building Society
FULL MEMBER
Address
ACCESS to
the famous
Linedancer
Postcode
website … with
over 20,000
Name(s) of Account Holder(s)
dance scripts,
Branch Sort Code
dance and music
charts, where-to-
Bank/Building Society account number
dance directories,
message board
Reference (number will be inserted by Linedancer Magazine)
and so much
more.
Instruction to your Bank or Building Society
Please pay Waypride Ltd T/A Champion Media Group Direct Debits from the account detailed in this instruction
Post to:
subject to the safeguards assured by the Direct Debit Guarantee. I understand that this instruction may remain with
Waypride Ltd T/A Champion Media Group and, if so, details will be passed electronically to my Bank/Building Society.
LINEDANCER
Signature(s)

FREEPOST

NWW2882A

SOUTHPORT
Date
1057507
Banks and Building Societies may not accept Direct Debit Instructions for some types of account

PR9 9ZY
DD|A6|P

1057507 LD_Subs_ad_DD_full.id 1 29/8/08, 1:02:42 pm
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