Corporate Membership Form
Please complete this form to register as a corporate member of North Dakota Association of Dance and Drill
Company Name
*
Main Contact
*
First Name
Last Name
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone
*
-
Area Code
Phone Number
Email
*
example@example.com
Website
*
Corporate Membership Fees and Upgrades
$500 Membership Fee, Program Ad Upgrades Additional
Fees and Ads
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Corporate Membership
$
500.00
State Program Full Page Ad
$
100.00
State Program Back Cover
$
200.00
Only one available
State Program Inside Cover
$
150.00
Limited availability
Inside Cover Location
Front
Back
Total
$
0.00
How would you like to pay?
*
Check in mail
Credit Card (will include a 3% processing fee)
Additional Comments
Please allow a minimum of 2 weeks for benefits to begin.
*
Submit Application
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