Join the Summer Dance Club

Application for Membership to the 2010 Summer Lakeside Dance Club

Names:________________________________________________________________________



Summer: ______________________________________________________________________

        Street                                                                           City                                   State/Zip



Winter:  _______________________________________________________________________

        Street                                                                            City                                     State/Zip



Phone:_______________________________




Email: ________________________________




$80 for the Summer Dance Club 2010

      

Mail to:

Lakeside Dance Club

Jerry & Jeanne Miller

664 Nemec Estates Rd SW

Alexandria, MN 56308

Member punch cards will be available at the first summer dance.

To join:

• Print this page

• Complete form

• Make check to: “Lakeside Dance Club”

• Mail form & check:


Jerry & Jeanne Miller

664 Nemec Estates Rd SW

Alexandria, MN 56308

Email the Summer Dance Club danceclub@lakesideballroom.org

Join Winter Dance ClubJoin_Winter.htmlJoin_Winter.htmlJoin_Winter.htmlshapeimage_5_link_0shapeimage_5_link_1
Dance Club Gift Certificate InformationGift_Certificate.htmlGift_Certificate.htmlGift_Certificate.htmlshapeimage_6_link_0shapeimage_6_link_1