Membership Form

Lead Name *

Email Address *

Phone *

Address

Follow Name

Email Address

Phone

Address

Would you like to be a greeter before a dinner/dance? *YesNo

Would you and your partner consider being Officers? *YesNo

Payment

Please mail a check for $100 ($50/person) membership dues to our Treasurer by August 20, 2026. Please postmark no later than August 15, 2026.

James Begin
699 Mohawk St.
Columbus, Oh. 43206

Please make checks payable to: Stardusters Dance Club

Payment MethodOnline with Venmo (@Robert-Karn-1)Send check payable to Stardusters Dance Club – to James Begin | 699 Mohawk St. | Columbus, Oh. 43206

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