Swing Des Moines Membership Application

To become a member of Swing Des Moines, please:
1. Complete the form below
2. Print it out.
3. Pay. 

You can bring the form and payment to any SDSM event, or you may mail the form and payment to us (contact us for address). Or, you may pay via PayPal to swing@swingdesmoines.com and email us the form.

Full Name: ____________________________________________
Address: _____________________________________________
City, State, Zip: ________________________________________
Phone(s): _____________________________________________
Email Address: _________________________________________
Type of Membership Applied For:
___ Regular Membership: $25
___ Renewal Membership: $20
___ Two-Year Renewal Membership: $35
___ Student Membership: $15 (full-time with valid ID)
I have read and agree to abide by the Swing Des Moines Bylaws and Standing Rules. (Must check box in order to activate membership.)

I am interested in volunteering at Swing Des Moines activities. (optional)

Signature: ___________________________________________   Date: ________________