Please print out this application and mail it to the Texas Coastal Bend Bellydance Association. Mailing address available at bottom of application
Texas Coastal Bend Bellydance Association Membership Application
New Member_____
Date ___________________
Name ___________________________________ Stage Name _____________________________________
Address _________________________________________________________________________________
E-Mail __________________________________________________________________________________
Phone ______________________________________ Birthday_______________________________
Membership Category: Individual $24_____ Student $12.00_________
Mailed Newsletter $6.00______________
Make checks payable to: Texas Coastal Bend Bellydance Association
PMB 272
1220 Airline Suite 130
Corpus Christi, Texas 78412