Membership Information

Please complete the form below and click on "Submit" to make your tax-deductible donation and become a Member.

To submit this form, all "*" fields must be filled in.

 

Beginner - $40
Intermediate - $90
Advanced - $215
Name of Individual or Organization Contact Person
First Name*
Last Name*
Organization/Company (if applicable)
Physical Address
Address*
City*
State*
Zip*
Email*
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Mailing Address (if different)
Mailing Address
City
State
Zip
Payment Information
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Expiration Year*
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Other Ways to Become a Member

By Phone

You can become a Member by calling:

713-224-3262


By Mail

You can also become a Member by printing this form and mailing to:

Dance Source Houston

PO Box 130661

Houston, TX 77219