NTTDS MEMBERSHIP FORM
PLEASE PRINT CLEARLY
Name _____________________________________________ Birthday (M/D) _____
Address ______________________________________________________________
Email ________________________________________________________________
Phone: Home (___)__________
Work (___)__________
Cell (___)__________
Spouse or Partner Name _____________________________________ Birthday (M/D) _____
Address (if different) _____________________________________________________
Email ________________________________________________________________
Phone: Home (___)__________
Work (___)__________
Cell (___)__________
Other family members:
____________________________________________________________________
List me/us in Membership Directory: Yes ___ No ___
Membership Type:
New ___ Renewal ___
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 |
Membership $ ______
Donation (optional) $ ______
TOTAL $______
Make checks payable to NTTDS.
Bring the registration form and money to any of our dances,
OR mail it to NTTDS, PO Box 820203, Dallas, TX 75382.