Membership Application

Name:

Email Address*

Preferred Mailing Address:

Street Address*:

City*:

State*:

ZIP*:

Cell Phone*:

Work Phone*:

TDI Member (Team OR Coach) Since*:

Date of Birth:

Nametags are re-issued every three (3) years and are updated yearly with stickers that are affixed to the nametag. Replacement tags are $10 each.

If you are an existing member in need of a replacement nametag this year please

mark the box below

TDI never sells it’s membership lists to outside vendors. However, if you do NOT wish your email address to be shared with other dance-associated groups/vendors outside of TDI, please check here:

Thank you for your membership in TEAMDance Illinois!

Please read the following CAREFULLY before you click “submit”.

You will receive a confirmatory email from TDI Membership within 72 hours with:

Your assigned membership number(s)

Invoice for payment - Cost $10.00

Application is NOT considered complete and memberships are not posted until all of the above is received and verified by TDI Membership.

IMPORTANT NOTES:

1. All membership mailings and payments should be addressed to:

TeamDANCE Illinois

ATTN: Membership

215 Fulton St.

Geneva, IL 60134

Please put “TDI Volunteer Membership” in memo.