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| New_____ Renewal_____ Change_____ | |
| Name___________________________________ | Spouse's Name____________________________ |
| Address_________________________________ | |
| City____________________________________ | State________ Zip + 4_______________________ |
| Birthdate: M____D____Y____ (year optional) | Occupation ________________________________ |
| Home Phone (_______) ____________________ | Work Phone (_______) ______________________ |
| email __________________________________ |
| Please indicate here where you might contribute your time and talent: |
| _____Class Manager | _____Membership | _____Publicity | _____Demonstrations | BRANCH USE: |
| _____Musician | _____Socials | _____Hospitality | _____Newsletter | Rec'd____________ |
| _____Teaching | _____Workshops | _____Library | _____Outer Ring | New #____________ |
| _____Other (specify) | _____________ | a) _______________ | ||
| b) _______________ |
| MEMBERSHIP SUBSCRIPTION (ANNUAL) | ||
| 1st Family Member: RSCDS HQ $30.00 + Atlanta Branch $15.00 | $45.00 | |
| Additional Family Member: RSCDS HQ $30.00 + Atlanta Branch $ 10.00 | $40.00 | |
| New Member After Dec 31st: RSCDS HQ $15.00 + Atlanta Branch $ 7.50 | $22.50 | |
| Junior Associate (Age 16 or younger, no voting privileges or publications) | $ 5.00 | $ __________ |
| The RSCDS is currently not accepting nor renewing Long Term Memberships |
| THE PETRONELLA PAPER - The official newsletter of the Atlanta Branch | ||
| is now available online at www.mindspring.com/~atlbrnch at no charge. | ||
| You will be notified by email when the new issue is ready. | ||
| Check here if you will access the Petronella Paper online ___________ | ||
| You may still pay for mail delivery if you wish, as specified below: | ||
| Full year (July 1 - June 30) 6 issues, (non US delivery $12.00) | $ 6.00 | |
| Part year (Jan 1 - June 30) 3 issues, (non US delivery $ 6.00) | $ 3.00 | $ __________ |
| Donation to the Atlanta Branch Memorial Scholarship Fund | $ __________ | |
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Total |
Paid | $ __________ |
| Make checks payable to RSCDS Atlanta Branch, in U.S. funds only, please. |
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The fiscal year runs from July 1st to the following June 30th. Membership includes a copy of the RSCDS Annual Bulletin or news magazine, a selected dance publication, a copy of the Local Association Constitution and Rules and notification of General Meetings. A person may vote at General Meetings who has been a member for at least the thirty days prior to the date of the Meeting. The Annual General Meeting and Election of Officers take place in May each year. Please use a separate form for each applicant. Membership in more than one Local Association (Branch) is permitted, but the Member must elect the Local Association (Branch) through which he/she wishes to pay Society subscription fees. Please indicate if there is any information on this form which you do not want published. Keep this lower portion of this application for your records. Amount paid _________ Date _____________ Check #_________ |
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