INSURANCE CHANGE NOTICE
2008
IMPORTANT INFORMATION
REGARDING ANY CHANGE IN THE CLUB
JANUARY 1 – DECEMBER
31 ANY ADDITION TO THE CLUB ROSTER AFTER
THE INITIAL ENROLLMENT WILL REQUIRE AN ADDITIONAL ENROLLMENT FEE PER DANCER.
CLUB NAME: ____________________________________________________________________________
S.
C. SQUARE AND ROUND DANCE FEDERATION
PERIOD (Month) ____________________________
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Number
of additions this page ________ X ($4.10) = $__________
Send
copy to: S.C. SQUARE AND ROUND DANCE FEDERATION
John & Rosilyn Earley
9422 Plowden Mill road
Alcolu, S.C. 29001