Membership Form and Instructions

Please fill out and submit the form below.

Then:

Electronic Funds Transfer (EFT) or Direct Deposit at a Westpac branch to: 

Account Name:

 Line Dance Association of Australia

Bank: Westpac, St Marys NSW

BSB Number:
 032-273

Account Number:
 348658

Reference: Please include your first initial and surname as a reference

Membership will not be valid until payment is received.