CUBANFUSION Social Club Membership Form

CUBAN☆FUSION Social Club - Membership Application Form

* Indicates required field

Name *

First

Last

Email *

Phone Number *

I am interested in attending Social Club events in the following locations: *

Wellington Kapiti Coast Both Wellington & Kapiti Coast

How did you hear about our Social Club? *

CUBAN☆FUSION Newsletter Eventfinda Facebook Friend Google MeetUp.com Other (Please specify below)

Do you want us to add your email to our e-Newsletter database? *

Yes No Not Applicable (I am already on your database)

To receive information, updates and reminders about CUBAN☆FUSION's free classes and events.

Message *

SUBMIT

Contact us to find out more: Tel 04-3828232 | Email | Facebook

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