Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.ESSDA Extraordinary Membership *On behalf of the organisation named below, I am applying for extraordinary membership of ESSDA and agree to abide by the ESSDA Constitution and BylawsExtraordinary membership is open to all legal entities, clubs and groups located in Europe, whose main concern is same-sex dancing or LGBT sports including same-sex dancing or are organising an international same-sex dance competition, and who agree to abide by ESSDA’s Constitution and Bylaws. Extraordinary members pay a membership fee and have voting rights based on the size of the organisation.Name of organisation applying for membership *Name of contact person *FirstLastAddress of organisation *Country *Contact email address *URL of organisation's websiteNumber of members of the organisation *Agreement to pay the ESSDA membership fee *On behalf of the organisation named above, I agree to transfer the annual membership fee to ESSDA upon confirmation of membershipMembership fees should be paid to: ESSDA, Lange Lozanastraat 16, 2018 Antwerp, Belgium; IBAN BE74 0682 5100 4907 – BELFIUS BANK, Antwerp, Belgium; BIC – GKCCBEBBSubmit
