THE ROBERSON INTERNATIONAL FOLK DANCERS
Membership

To join the Roberson International Folk Dancers please send in the form below.  Membership is $12.00 per person per year. 

FROM: _____________________________________   Date:__________________

TO: Ted Major, Treasurer, Box 607, Bible School Park, NY 13737, emajor@stny.rr.com, 607 723-0597

Enclosed is (    )  check, (    )  cash  in the amount of $_________
(Make checks out to the Roberson International Folk Dancers)

This is for a (   ) New, (   ) Renewal,  membership

Name: _____________________________________
Address: ___________________________________

               ____________________________________

City, State, Zip ____________________________________

Phone (Home) _____________________________________

           (Cell)   ______________________________________

           (Work) ______________________________________

Email: ____________________________________________

Thank you for joining or renewing your membership 

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