Green Valley Squares PO Box 1472 Green Valley, AZ  85622-1472 gvsquares@aol.com

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Become A Member

Please print this form and bring it with your check to the next dance, or mail it to the above address.
Or click PDF form to print out. Use your back (arrow) button to return.

New members:  If you sign up in October, November, or December,
your dues will cover those three months and all of 2008.

$5 per person.                                                                                                                 Date:______________

Last Name:________________________________  First:__________________________  M.I.:__________

Spouse/Companion:
*Last Name:_______________________________  First:__________________________  M.I.:__________
(*if different)
Your GVR Number:____________________

E-mail address:___________________________________________________________________________
To reduce costs, notices will normally be sent via e-mail if possible, USPS to all others.
Please check here if you want notices sent to you by USPS even if you have e-mail.______________

GV Street Address__________________________________________________________________________

GV Home Phone (520) _________________________________

Your non-Green Valley address, phone number and e-mail address may be written on the back of this form if you care to do so.