Membership Form
SHORELINE SWING MEMBERSHIP
SEPTEMBER 2018 - JUNE 2019
Membership benefits begin at sign-up and end in June
DATE: __________________
NAME:_____________________________________________
ADDRESS:__________________________________________
___________________________________________________
Town/City State Zip
PHONE:____________________________________________
EMAIL:_____________________________________________ (please print clearly)
Check all that apply:
_____ I would like to receive announcements by email
_____ I would like to help at the dances as a Swing Shift volunteer for a reduced admission fee of $5
$10 Membership fee paid by: Check _______ Cash _________
Renewal_________New membership ________
card issued_______ Google list updated_______
…………………………………………………………………………………………………
Treasurer's copy
Member Name____________________________________
Date______________
$10.00 Shoreline Swing, Inc. membership dues for the period of 9/2018- 6/2019
Signed by staff____________________________________