Application for Membership
Check one:
Regular Member
Associate Member
[See below]
Name
Partner's Name
Address
City
State
ZIP -
Phone ()-
E-Mail
Are you a Round Dance Cuer?
Yes
No
If yes, how long have you been cueing?
Are you a Teacher of Rounds?
Yes
No
If yes, how long have you been teaching?
Presently what phase(s) do you cue?
II
III
IV
V
VI
Presently what phase(s) do you teach?
II
III
IV
V
VI
If applying for Regular Membership, please fill out the background information:
I verify that the above is correct and current, and that I have a current ASCAP/BMI license
and can show proof.
Signed (Applicant)
Date
Co-Signed (Sponsor)
Date
Do you want an ORDTA badge?
Yes
No
Name wanted for your badge
Name for partner's badge
Badges are $5.00 each.
Annual dues are $10.00 per teaching unit and run from July 1 through June 30.
Dues must accompany this application.
Make check(s) out to ORDTA and attach to this application.
Regular Member
Must meet one of the following criteria and complete the subsequent application procedure.
Procedure
Associate Member
Must meet the following criteria and complete the subsequent application procedure.
Procedure