To join the Wisconsin Dance Council, print this form, complete it and mail with payment to:
Wisconsin Dance Council
Post Office Box 707
Madison, WI 53713-0707
Please print all information.
CONTACT INFORMATION:
NAME_________________________________________________________
ADDRESS_____________________________________________________
CITY__________________________________________________________
STATE________________________ ZIP CODE________________________
TELEPHONE NUMBER ___________________________________________
WEBSITE______________________________________________________
EMAIL_________________________________________________________
MEMBERSHIP TYPE: (Check one)
NEW_______ RENEWAL ________ (#YEARS _______ )
TYPE OF MEMBERSHIP: (Check one)
REGULAR ($25)_______
STUDENT ($10)_______
RETIREE ($10)_______
PROFESSIONAL ORGANIZATION ($30)_______
STUDENT ORGANIZATION ($12)_______