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Winter Dance 2023-24

Names:________________________________________________________________________

Summer: ________________________________________________________________________

                                        Street                                                                           City                                   State/Zip

Winter:  ________________________________________________________________________

                                        Street                                                                            City                                     State/Zip

Phone:_______________________________

Email: ________________________________

I am interested in a dance lesson prior to club dances.    Yes / No

1. ☐$75 Couple       ☐ $45 Individual       ☐ $90 Sustaining Membership
   

☐ $45 Couple 17-30 yr. old      ☐ $25 17-30 yr. old Individual

To join:

• Print this page

• Complete form

1. •Make check to:
   

“Winter Dance Club”

1. •Mail form and check.

Mail to:

Winter Dance Club

Barbara Benson

508 East Lake Cowdry RD NW

Alexandria MN 56308

Email Winter Dance Club  winterdance@lakesideballroom.org