Redwood Empire Swing Dance Club
Membership Form
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●Print this form using your browser print button.
●Fill in the form by hand and mail with check to:
RESDC, P.O. Box 83, Santa Rosa, CA 95402.
O General Membership ($30 per year)
O Youth Membership (21 and under $20.00 per year)
O New member O Renewal O New address O New phone Date:_______________________________
Name: ___________________________________________________
Street: ___________________________________________________
City/State/Zip: ____________________________________________
Home phone: ______________ Work phone _____________________
Occupation: ______________________________________________
E-Mail: __________________________________________________
Birthday: Month ______________________ Day: _____________
| How did you hear about the Redwood Empire Swing Dance Club?
O Web site: _____________________________
O Friend (who?): ________________________ O Other: ______________________________ |
Would you like to be involved on a committee? O Dance O Activities O Entertainment O Hospitality O Public Relations O Newsletter Membership Finance O By-Laws O Photography O Other: ________________ |
For office use
Paid by: Cash or Check; Amount received: $_____________
Membership number ___________________________________
Membership valid from: ___________________ to _______________________
Membership card issued: Yes No