Membership Form

Yearly Membership Donation to the PeaceWorks North America is gratefully accepted by check or money order in US Funds payable to PW-DUPNA, or by Mastercard or Visa. People living outside of North America can become Dance Network members through joining their respective regional organization (eg. the UK Network for the Dances of Universal Peace). See the INDUP website to locate your Regional Networker who can further assist you.

To join by mail, print off the Membership Form and mail to:
    PeaceWorks - Dances of Universal Peace, North America
    P.O. Box 1401
    Blythe CA 92226-1401

To join by phone, call us at 760-922-2551

To join by Internet, simply fill out the form below and click the "Submit and Pay through PayPal" button at the bottom.

First Name		Last Name
Address
Email
Phone
Where do you regularly attend the dances?
NEW!! $25 first time membership available for people who are not dance leaders. Membership Categories: Benefactor - $500 and up/year ......Please enter your amount $ Friend - $125 - $499/year ......Please enter your amount $ Couple - $100/year Regular - $65/year Low Income - $45/year First Time Member - $25/year (Not available to dance leaders)
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Membership Directory Listing Options:
Listing: List me in the membership directory Do not list me in the membership directory at all
Email: List the email address I entered above in the membership directory List this email in the directory instead: List no email address in the membership directory
Phone: List the telephone I entered above in the membership directory List this phone in the directory instead: List no telephone in the membership directory
Address: List the street address I entered above in the membership directory List no street address in the membership directory
Additional Listing Options for Dance Network Contacts and Leaders:
Listing: List me on the NA website Do not list me on the NA website at all
Web Email: Use the email address I entered above for NA website Use this email for NA website instead: Use no email address on NA website
Web Phone: Use the telephone I entered above for NA website Use this phone for NA website instead: Use no phone on NA website
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