May - Ballroom Dance Dayton
May - Ballroom Dance Dayton
May - Ballroom Dance Dayton
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‘76 DANCE CLUB MEMBERSHIP APPLICATION/RENEWAL (<strong>May</strong> 1, 2011 - April 30, 2012)<br />
MEMBERSHIP FEES<br />
Prepaid Membership: Couple $192 per year Regular Membership: Couple $60 per year<br />
Single $96 per year<br />
Single $30 per year<br />
Last Name: ____________________ First Name: __________________________ Home Phone: (____)_____________<br />
Address: ___________________________________ City: ____________________ State: _____ ZIP:________-_____<br />
Partner: _______________________ First Name: __________________________ Home Phone: (____)_____________<br />
Address: ___________________________________ City: ____________________ State: _____ ZIP:________-_____<br />
A Prepaid Membership entitles a member to TWELVE dances during the <strong>May</strong>-April membership year.<br />
A Regular Membership entitles a member to TWELVE dances during the <strong>May</strong>-April membership year at $9 per member<br />
per<br />
dance.<br />
<strong>Dayton</strong> Area <strong>Ballroom</strong> <strong>Dance</strong> News options (Choose one).<br />
____ I do not want the <strong>Dance</strong> News<br />
____ I want to purchase a subscription for a paper copy to be delivered by mail at a cost of $15 per year<br />
____ I want an electronic delivery (provide e-mail address) __________________________________________<br />
Please make your check payable to ‘76 <strong>Dance</strong> Club and give/mail to:<br />
Jack Yaus<br />
214 Cooper Lane<br />
Xenia, Ohio 45385<br />
SWING ‘N SWAY DANCE CLUB<br />
Membership Application or Renewal JUNE 1, 2011 through MAY 31, 2012<br />
Regular Memberships: ____$30.00 for Couple ____ $15.00 for Single<br />
Pay just $9.00 per person per dance with a Regular Membership<br />
*************************************************************************************<br />
Pre-paid Membership: _____$150.00 for Couple _____ $75.00 for Single<br />
Free admission to all monthly dances with a Pre-paid Membership. (** Does not include special dances.** )<br />
_____Check<br />
_____Cash<br />
Please Print Clearly - All Club business will be conducted via E-mail or US Mail.<br />
Name (s)<br />
Address<br />
City/State/Zip Code<br />
Telephone<br />
E-mail Address<br />
Or<br />
Return to: Dennis Dunn, Treasurer 1121 Evergreen Park CT., <strong>Dayton</strong>, Ohio 45458-2069<br />
Bring to the next Swing ‘n’ Sway <strong>Dance</strong> (4 th Saturday of the month)<br />
Volume 15, Issue 05, Page 7 <strong>May</strong> 2011
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