APPLICATION FORM FOR MEMBERSHIP | |||||||
| Any questions? Call 401-295-7025 or email dn@riDance.com 1 year membership - $30.00 2 Years - $55.00 3 years - $75.00 Date of membership ____________ (above is for DA process, do not fill in) |
Print and fill out Application One form per person Mail Application and check to: Dance Alliance PO Box 372 East Greenwich 02818 | ||||||
|
NAME: _________________________________________ CONTACT PHONE: _________________________ EMAIL:_____________________________ MAILING ADDRESS: Street wt number or PO: ____________________________________________________ City: ________________________ State: ______________ Zip: ___________ SCHOOL/STUDIO/ORGANIZATION AFFILIATION (if any) ___________________________________________ AREA OF INTEREST: ________________________________________
| |||||||