| Personal Information |
|---|
| Name: |
_________________________________________ |
| Address: | _________________________________________
_________________________________________
_________________________________________ |
| Work Phone: | _________________________________________ |
| Home Phone: | _________________________________________ |
| Cell Phone: | _________________________________________ |
| Email: | _________________________________________ |
| Website: | _________________________________________ |
Company or Dance Ministry
| | Company Name: | _________________________________________ |
| Company Address: | _________________________________________
_________________________________________
_________________________________________ |
| Company Phone: | _________________________________________ |
| Company Email: |
_________________________________________ |
| Company Website: | _________________________________________ |
Religious Affiliation
| | Church Name: |
_________________________________________ |
| Pastor Name: |
_________________________________________ |
Interested in Dance Styles
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Payment
|
The annual membership fee for The Called 2 Dance National Liturgical Conference™ is US$35.00
Please send your check or Money Order to:
Called 2 Dance
P.O. Box 382070
Miami, FL 33238 |