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Online Membership Application

In order for you to get the most out of our club, we need to know a little bit more about you...

(Alternatively, you can download and send you payment in to us, see the bottom of this page.)

Fields marked (*) are required for online purchase of your application.
Firstname*:
Lastname*:
Partner's name (first and last):
Street*:
City*:
State*:
ZIP*:
Home / Cell Phone:
eMail Address*:
Occupation / Business Owned / Retired:
Birthday (MM/DD):
How did you learn about SoCoSoFo:
Pictures are often taken at our events, may we publish your photograph? yes, no.

Before we ask you for your money, we want to ask you for your time. As a nonprofit organization run for its members by its members, there are many services and items required to maintain the club's ability to provide the members with a social Country-Western dancing venue. Please indicate (below) what you would be willing to donate or volunteer.

Catering:
Dance instruction:
Dance team member:
Decoration items(C&W):
Digital photography:
Disk jockey (dj):
Event staff:
Fundraising:
Graphic design:
Historian:
Marketing Skills:
Phone / email tree:
Social committee:
Web Design:
Writing Skills:
Your special contribution?:
Membership? single - $25
couple - $40 (same household)
You will be prompted for payment once you review your information (next page). Membership payments are processed via PayPal. You do not need a Paypal account in order for your payment to be processed.

Upon receipt of your membership application, you will receive a membershuip card, email updates, member discount information, and a copy of Southern Country South Florida Inc. By-laws.

Please download the following application form (application.pdf), fill it out and send it, with your check to:

Southern Country South Florida
PO Box 23512
Fort Lauderdale, FL 33307

(*) application.pdf requires Adobe Acrobat Reader or other PDF viewing software.
Applications may also be handed to any Board member.