Legal Name___________________________________If Renewal, Expiration Date_____________________
Address_________________________________________________________________________________
City_________________________________________State_________ Zip___________________________
Phone (______)________________________________Fax (______)________________________________
E-Mail___________________________________________________________________________________
Check here for E-Happenings____________*
*You save $5.00 off membership; Happenings is sent via E-Mail.
* Please check all that apply to you below:
Student___ Teacher ___ Performer ___ Press ___ Musician ___ Merchant ___ Other (specify)__________
In a Dance Troupe? Yes /No If Yes, Troupe's Name _________________________________________
All applications subject to approval by MECDA. No membership will be denied because of race, nationality, religion, color, sex or creed. Memberships are given in legal names. MECDA members are all considered to be full members-at-large unless chapter affilitation is desired.
Currently MECDA has eight chapters:
* Bay Area *Central Coast *Inland Emjpire *Millennium (SE US)
*Beach Cities * Desert Communities *Magic (OK/TX) *San Diego
If affiliation is desired, please indicate your choice of chapter below:
Chapter Affiliation _______________________________________________
As a MECDA Member, I agree to abide by the policies and procedures as as set forth in the MECDA Chapter, Parliamentary Procedures, and Code of Conduct.
Signature ____________________________________Date ________________________________________
MEMBERSHIP FEES U.S.A.
_____$35.00 NEW MEMBERSHIP
_____$30.00 RENEWAL ( Annual dues received within 60 days of expiration)
_____FAMILY MEMBERSHIP ( Full price for the fierst member; $9.00 for each additional member at the same address)
List Names: __________________________________ _ ____________________________________
__________________________________ ______________________________________
_____ INTERNATIONAL MEMBERSHIP - $45.00 (E-Happenings Only)
_____$25.00 E-HAPPENINGS NEW-MEMBERS
_____$20.00 E-HAPPENINGS RENEWAL
Please make checks payable to MECDA, PO Box 946, Rosemead, CA 91770
(please allow 4-6 weeks for processing of applications)
****Membership prices good through November 2003****
MECDA Use Only
Date rec'd __________ Check # __________ Amt. __________ Receipt # __________ Exp. Date __________