Swing Tulsa Style Membership Form.


Complete and print the following form.  You may also print a PDF form.

Please provide the following information:

New Membership      Renewal     (update only info that has changed)

Membership Type:  Single - $24 per year       Household Family - $36 per year  

Title Mr.     Mrs.    Ms.     Dr.    Rev.     Other: 

First Name Last Name

Street Address Apt or Suite

City State   Zip

Home Phone  Work/Cell Phone

Occupation:  

E-mail   Birthday (Month/Day) /

For family memberships, list all household members...
Name
   Email Birthday (Month/Day) /
Name    Email Birthday (Month/Day) /
Name    Email Birthday (Month/Day) /

Unless checked, your STS Newsletter will be sent by email after October 1, 2007.....

Please PRINT and bring your completed form 
along with payment to an STS class or mail to:  
 Swing Tulsa Style...4012 South Marion Avenue...Tulsa, OK  74135

For Office Use Only:    Date Joined: ____/____/____  Amount Paid: $________   Cash Check #:__________

 

Revised: January 29, 2008