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Join the Winter Dance Club
Application for Membership to the 2010-2011 Winter Dance Club
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
$75 for the 2010-2011 Winter Dance Club
Mail to:
Winter Dance Club
Barbara Benson
508 East Lake Cowdry RD NW
Alexandria MN 56308
Member punch cards will be available at the first dance.
To join:
• Print this page
• Complete form
• Make check to: “Winter Dance Club”
• Mail form & check:
Winter Dance Club
Barbara Benson
508 East Lake Cowdry RD NW
Alexandria MN 56308
Email Winter Dance Club winterdance@lakesideballroom.org
