WAMEDA membership form

Please send this completed form, along with your dues and any additional funds for teacher or dance troupe listings, to

WAMEDA
C/O DANCER
8010 OLD BRANCH AVE
CLINTON MD 20735

Make checks payable to WAMEDA. If also renting video tapes, please enclose a separate check.
If possible, please fill out the form online and then print it. This makes the form easier for us to read.
New members may prorate their dues on a trimester basis the first year only.

All memberships expire annually on January 31st.

Name:
Stage name:
Address:

City:
State:
Zip:
Home phone:
Work phone:
Cel phone:
Email:
Membership options
	I wish to renew my WAMEDA membership. ($30.00)
	I wish to join WAMEDA as a new member
	in the first trimester ($30.00)
	in the second trimester ($22.50)
	in the third trimester ($15.00)
	I would like to get the newsletter electronically, when that becomes available

	I would like to be listed in the WAMEDA directory as a teacher. ($10.00)
	Include some notes about yourself and your classes for your listing. (We'll edit this entry for brevity and clarity.)
	I would like to have my dance troupe listed in the WAMEDA directory. ($10.00)
	Include some notes about your troupe for its listing. (We'll edit this entry for brevity and clarity.)
	I am a teacher or troupe director and would like to be listed on the WAMEDA web site. (Please fill out the permission form.)
	I would like to include a photograph with my web listing. ($10.00 per photograph--send us a scanned photo in .jpg format)
Additional information
	I would like to assist at WAMEDA events.
	I would like to take part in the email group list for event information. (Make sure to include your email address in the section above.)
	Total

Please print and send this completed form, along with your dues and any additional funds for teacher or dance troupe listings, to

WAMEDA
C/O DANCER
8010 OLD BRANCH AVE
CLINTON MD 20735

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Membership options