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  • BSDC Application 2012-2013

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    sherri_dennis3497
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    The document is a membership application for the Badin Shores Dance Club. It requests the applicant's name, address, email, phone numbers, birthdate, wedding anniversary, music preferences, and $20 annual dues per person. The applicant can choose to receive the club newsletter by postal mail or email and is asked to return the completed form to the club address.

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    The document is a membership application for the Badin Shores Dance Club. It requests the applicant's name, address, email, phone numbers, birthdate, wedding anniversary, music preferences, and $20 annual dues per person. The applicant can choose to receive the club newsletter by postal mail or email and is asked to return the completed form to the club address.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
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    13 views1 page

    BSDC Application 2012-2013

    Uploaded by

    sherri_dennis3497
    The document is a membership application for the Badin Shores Dance Club. It requests the applicant's name, address, email, phone numbers, birthdate, wedding anniversary, music preferences, and $20 annual dues per person. The applicant can choose to receive the club newsletter by postal mail or email and is asked to return the completed form to the club address.

    Copyright:

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    of 1

    BADIN SHORES DANCE CLUB

    MEMBERSHIP APPLICATION
    (Please print)

    NAME: _____________________________________________
    ADDRESS: _________________________________________
    _________________________________________
    E-MAIL ADDRESS: _______________________________
    *to be used for Dance Club communications only

    I prefer to receive my newsletter via postal mail____


    PHONE (Home)
    (Other)

    or via e-mail____

    __________________
    __________________

    B S R LOT NUMBER _____________


    BIRTHDAY: MALE (Date) ___________ FEMALE (Date) ___________
    WEDDING ANNIVERSARY (Date): ______________________
    MUSIC PREFERENCE: ___________________________________
    MEMBERSHIP DUES: $20.00 PER PERSON ANNUALLY
    *Make check payable to Badin Shores Shaggers*

    MARCH: 2012 TO MARCH: 2013


    PLEASE COMPLETE AND RETURN TO:
    BADIN SHORES DANCE CLUB
    13 CLUB HOUSE DRIVE
    NEW LONDON, NC 28127

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