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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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* Indicates required question
Membership type
*
Individual
Company
Name of Individual or Company
*
Your answer
Street Address
*
Your answer
Email Address
*
Your answer
Phone number
*
Your answer
Website
Your answer
Social Media
Include links to Facebook, Twitter, Instagram, or any other social media sites.
Your answer
Company membership: Director's Name
Your answer
Contact Person for Company
*
Your answer
Contact Person's phone
*
Your answer
Contact Person's email
*
Your answer
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.
I have made my payment via PayPal ($51.75 for Companies)
I have made my payment via PayPal ($26 for individuals)
I have mailed a check made out ot Virginia Dance Coalition to PO Box 158, Fairfax, VA 22038-0158
Please send me a PayPal invoice for my membership fee
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