Membership Dues: Single Annual Dues . . . . $35.00 Couple Annual Dues . . . $60.00 Lost/Replacement Cards $10.00 each	Make Checks Payable To: Texas Country Western Dance Association Mail To: Texas Country Western Dance Association Attn: Membership PO Box 167056 Irving, Texas 75016-7056
Please Allow 4 to Six Weeks for Approval and Processing. Thank You!

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The Texas Country Western Dance Association was established for the sole purpose of promoting country western dancing and all related activities by participating in dance lessons, competitions, workshops, seminars, conventions, judging and more.
New Member(s) Renewal(s)	Date:
Member Information:
1^st Member’s Name:	2^nd Member’s Name:
1^st Member’s Current ID (if Renewal):	2^nd Member’s Current ID (if Renewal):
1^st Member’s Daytime Telephone #:	2^nd Member’s Daytime Telephone #:
1^st Member’s Evening Telephone #:	2^nd Member’s Evening Telephone #:
1^st Member’s Occupation:	2^nd Member’s Occupation:
1^st Member’s Birthday (Month/Day Only):	2^nd Member’s Birthday (Month/Day Only)
Mailing Address (one only): City: State: Zip Code:
1^st Member: The TCWDA may use my email address to send dance/association related information only.* 2^nd Member: The TCWDA may use my email address to send dance/association related information only.* * You will not receive emails unless this box is checked.
; I would prefer to retrieve my copy of the Monthly Newsletter – The "Country In Touch" – online at www.tcwda.com. (Click CIT button). Please do not mail me/us a copy.

For our organization to continue to grow and be successful, it is essential that we address the interests of our members. Please give us answers to the following questions so that we may forward this information to your Chapter President. Would you be interested in the following activities:
	Yes	No	Maybe		Yes	No	Maybe
1) Take Dance Lessons 2) Instructing Dance Lessons 3) Competition Dancing 4) Judging Dance Contests 5) Working Dance Contests				6) Dance Demonstrations 7) Working on a Committee 8) Attending State Conventions 9) Other Activities: _________ ___________________________

Chapter Preference (all Chapter functions are open to all TCWDA members regardless of Chapter affiliation):
At Large (no Chapter)	Arlington	Dallas	Denton
Fort Worth	Midland/Odessa	Stockyards (Fort Worth)	West Side Shufflers
Who Referred You?
Membership Beniefits: current members are given a membership card. Various merchants and dance clubs offer discounted merchandise and special admission prices to current members. Members shall receive a monthly newsletter and be invited to all Association functions.
Membership Requirements: Members must be current with their dues, of good moral character, comply with all By-laws/policies, application/renewal procedures, show an interest in learning, teaching and/or promoting country western dancing, and participate in various Chapter/Association-wide activities.