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Halliwick AST
Overseas Personal Affiliation Form

I the undersigned apply for membership of the Halliwick AST, and agree to support its aims and objectives.
Name:
Address:
 
 
 
 
Tel:
email:
Date:
Signature:

Please enclose with the form a cheque for £25.00 made payable to Halliwick AST and send to:

Halliwick Association of Swimming Therapy
c/o ADKC Centre
Whitstable House
Silchester Road
London W10 6SB
Halliwick AST is a member of the International Swimming Association (IHA) which provides information and support to countries interested in Halliwick and promoting its work.  You may be eligible to join the IHA and information on the IHA can be found at www.halliwick.org