Virginia Dance Coalition Membership Application
Please complete the form below to join the Virginia Dance Coalition. Please contact virginiadancecoalition@gmail.com with any questions you may have.
Membership Type *
Name of Individual or Comany *
Your answer
Street Address *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Website *
Your answer
Social Media
Include links to Facebook, Twitter, Instagram, or any other social media sites.
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Company Membership: Director's Name
Your answer
Contact Person for Company
Your answer
Contact Person's phone
Your answer
Contact Person's email
Your answer
Payment *
Please visit PayPal to make your payment to virginiadancecoalition@gmail.com before submitting this form. Conversely, you may mail a check made out to the Virginia Dance Coalition PO Box 158, Fairfax, VA 22038-0158.
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