Application for Membership
For
 The D. C. Hand Dance Club
MWDCHDPS

 

2010 D. C. Hand Dance Club Application/Renewal

Name_________________________________________________________Date___________

Street _________________________________________________________________Apt. #________

City_____________________________________________________________State____Zip________

Phone (Home)_____________________(Cell)___________________(Work)_____________________

E-Mail Address_______________________________________Birthday (Mo/Day)________________

Are you interested in serving on a committee?_______________

Please remit $15.00 per membership to: Helen Tassara, D. C. Hand Dance Club, 13016 Raintree Terrace, Silver Spring, MD 20904

Submitting this form grants DCHDC permission to use any photos that may be taken of you in our Club’s media.

NOTE: Please complete a separate form for each individual.


MEMBERSHIP FEE IS ONLY $15.00 PER PERSON
PLEASE MAIL THIS APPLICATION ALONG WITH
 A CHECK MADE PAYABLE TO:
"MWDCHDPS"
MAIL TO:
 Helen Tassara-Membership Chairperson

D. C. Hand Dance Club
13016 Raintree Terrace
Silver Spring, MD 20904-5272
HOTLINE NUMBER (301)460-0800
WEBSITE ADDRESS: www.DCHandDanceClub.com
E-MAIL ADDRESS: DCHandDancers@verizon.net
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