NTTDS MEMBERSHIP FORM
PLEASE PRINT CLEARLY
Name __________________________________________________________________
Street ________________________________________________________________
City _________________________________________ State ____ Zip _________
Email Address _________________________________________________________
Home Phone (____)__________________ Work Phone (____)__________________
Cell Phone (____)__________________ Birthday (Month and Day) ________________
Email Address _________________________________________________________
Membership Type:
Individual ($18.00/yr)* $________ Family (2 or more, $30.00/yr)* $________
All memberships expire in February. RENEWALS must pay for a full year,
no matter when the RENEWAL is paid.
* For NEW members, the fee varies by month for the remainder of the time
until
the following February, as indicated in the table below for
Individual (I) and Family
(F) memberships.
| Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | Jan | |
| I | 18.00 | 16.50 | 15.00 | 13.50 | 12.00 | 10.50 | 9.00 | 7.50 | 6.00 | 4.50 | 3.00 | 1.50 |
| F | 30.00 | 27.50 | 25.00 | 22.50 | 20.00 | 17.50 | 15.00 | 12.50 | 10.00 | 7.50 | 5.00 | 2.50 |
If Family, list family members:
Name: ___________________________________ Birthday ________________
Name: ___________________________________ Birthday ________________
Name: ___________________________________ Birthday ________________
Name: ___________________________________ Birthday ________________
Name: ___________________________________ Birthday ________________
Name: ___________________________________ Birthday ________________
List me in Membership Directory: Yes ___ No ___
I will volunteer for:
___ SetUp ___ Cleanup ___ Refreshments ___ Water/Lemonade
___ Producer (Door Cashier) ___ Sound
Make checks payable to NTTDS
Bring registration form to any of our dances,
OR mail to the treasurer: Carl Dreher, 6409 Richmond Ave, Dallas, TX 75214
If family members have separate phone or email, please list them below.