Join the Winter Dance Club

Application for Membership to the

Winter Dance Club 2011-2012

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. ☐$85 Couple  ☐ $45 Single

☐ $45 Couple 17-25 yr. old

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

Summer Dance Club InformationJoin_summer.htmlJoin_summer.htmlSummer_2011.htmlshapeimage_5_link_0shapeimage_5_link_1
Dance Club Gift Certificate InformationGift_Certificate.htmlGift_Certificate.htmlGift_Certificate.htmlshapeimage_6_link_0shapeimage_6_link_1

Mail to:

Winter Dance Club

Barbara Benson

508 East Lake Cowdry RD NW

Alexandria MN 56308