Dance Masters of America - General Information Form


	GENERAL INFORMATION FORM	Go Back
HELP US TO IMPROVE OUR SERVICE TO YOU WE ASK THAT ALL MEMBERS TAKE A FEW MINUTES TO COMPLETE AND RETURN THIS FORM
OLD INFORMATION (HOW YOU ARE NOW REGISTERED WITH DMA)

Members name:

____________________________________________________________

Mailing Address:
(Check one)

Home:

______

Studio:

______

Street address:

____________________________________________________________

City:

______________________________

State:

______

Zip: ________

Chapter:

_________________________________________________________________

NEW INFORMATION (NEW INFORMATION WE NEED TO SERVE YOU BETTER)

Members Name:

____________________________________________________________

Mailing address:

___________________________________________________________

City:

______________________________

State:

______

Zip: ________

Name of Studio:

___________________________________________________________

Studio A466506ddress:

___________________________________________________________

City:

______________________________

State:

______

Zip: ________

Home Telephone: Area code -

_____ / ______________________________

Cell Telephone: Area Code -	_____ / ______________________________
Studio Telephone: Area Code -	_____ / ______________________________

Fax: Area Code -

_____ / ______________________________

E-mail:

____________________________________________________

Web Page Address:	http://www._________________________________________

Send Form to DMA National Office:

Dance Masters of America, Inc.
Robert Mann - Executive Secretary
P. O. Box 610533, Bayside, NY 11361-0533