Virginia Dance Coalition Membership Application
Please complete the form below to join the Virginia Dance Coalition. Please contact virginiadancecoalition@gmail.com with any questions you may have.

www.tinyurl.com/VADC-member
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Membership type *
Name of Individual or Company *
Street Address *
Email Address *
Phone number *
Website
Social Media
Include links to Facebook, Twitter, Instagram, or any other social media sites.
Company membership: Director's Name
Contact Person for Company *
Contact Person's phone *
Contact Person's email *
Payment *
Please visit PayPal to make your payment to virginiadancecoalition@gmail.com before submitting this form. Conversely, you may mail a check made out to the Virginia Dance Coalition PO Box 158, Fairfax, VA 22038-0158.
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