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MASDA MEMBERSHIP/CHANGE OF ADDRESS NOTE: Use this form for membership renewal or change of address MASDA membership for 2012 is $30.00 per year for singles or couples. Your membership includes four dances with Atlanta Area Callers and Cuers, two dances with National callers and 12 issues of FOOTNOTES. To insure uninterrupted delivery of FOOTNOTES, please renew by the 12th of the month to receive next month's issue. The expiration date is shown in the top line of your mailing label. [ ] NEW MEMBERSHIP [ ] RENEWAL [ ] CHANGE OF ADDRESS CONTROL# _________ PLEASE PRINT MEMBER(S)________________________________________________________________________ PRESENT
ADDRESS__________________________________________________________________________ OLD
ADDRESS__________________________________________________________________________ HOME PHONE__________________________ E- MAIL_____________________________________ ACTIVE MEMBER OF CLUB(S)___________________________________________________________________________ Make checks payable to MASDA and mail to: Pat Inglis
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