Membership Form (for new members or new information)
Royal Scottish Country Dance Society
Central Iowa Branch
Name(s)______________________________________________________________________
Address______________________________________________________________________
______________________________________________________________________
Home Phone_________________________ Work Phone_____________________________
e-mail_______________________________________________________________________
What is your interest in Scottish Country dancing?___________________________
_____________________________________________________________________________
Would you be willing to have your name, address, phone number,
and e-mail address in a branch membership directory?_____________
Would you be willing to help with one or more of the following?
Publicity______ Socials______ Class Organization_______ Board Member______
Book Library______ Music Library______ Equip. Maintenance______ Other______
Fees: Single: $40.00 ______ Couple: $70.00 ______
Payable annually. Fiscal year is from July 1.
Please send this form and check, payable to "RSCDS - Central Iowa Branch", to
David Michael, 612 Carroll Ave, Ames, IA 50010
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