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Print this membership application page or click here and then print :
The Spa City Bop and Swing Dance Club is a Non-Profit organization directed toward entertainment and fellowship of it’s members, dedicated to the preservation of Bop, Swing, and Jitterbug dancing.
DUES ARE $20.00 PER PERSON PER YEAR.
As a member you will receive our club newsletter and calendar, member fee admission to regular and specialty dances, and free dance lessons offered by the club.
Please fill out completely.
NAME _________________________________
BIRTH DATE M/Day ____ / ____
NAME_________________________________
BIRTH DATE M/Day ____ / ____
ADDRESS_______________________________________________
CITY_____________________ State__________ Zip___________
HOME PHONE (____) __________________
WORK PHONE (____) __________________
CELL PHONE (____) __________________
EMAIL__________________________________________BY
BY SUBMITTING THIS APPLICATION, I RELEASE THE SPA CITY BOP AND SWING DANCE CLUB FROM ANY AND ALL LIABILITIES. I ALSO UNDERSTAND THAT MY MEMBERSHIP CAN BE REVOKED FOR ACTIONS INAPPROPRIATE OR DETRIMENTAL TO THE CLUB OR ANY MEMBER.
SIGNATURE____________________________ DATE ____________
SIGNATURE____________________________DATE_____________
Please Make Checks Payable to: SPA CITY BOP AND SWING DANCE CLUB
Mail to: P.O. BOX 20637, HOT SPRINGS, AR 71903 - 0637
This application can be given to any Board Member for your convenience or you may mail the application to the above address. A membership card will be forwarded to you. For more information you may contact the Membership Director at 501-627-4424 or email to iam.bopcarol@yahoo.com
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