CDSS Group Affiliate Membership Form

Use this form to become a group affiliate or renew your group affiliate membership.

Group affiliation is an important way to support the work of CDSS. We welcome groups that practice and promote English and Anglo-American traditional, historical, and folk dance, music and song.

If you are having any trouble filling out or submitting this form, email support@cdss.org, or call 413-203-5467 during office hours.

Group Name(*)
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Contact Person(*)
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Street Address(*)
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City(*)
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State/Province(*)
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Zip/Postal Code(*)
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Phone(*)
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Email Address(*)
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Website
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Membership Level(*)
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Membership Type(*)
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Who are your group's current officers and/or leaders?(*)
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Are your group's activities open to the public?

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Are you a performing group?

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Please list the activities of your group, how often, when and where you meet, and approximate number of people who participate.
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When was your group founded and/or what is its history?
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If you know, who in your group are individual CDSS members?
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Comments
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I/we were encouraged to join by:
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Fund Appeal Contribution

I wish to make an additional gift to the fund appeal in the amount of:
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Total & Payment Info

Total Membership Cost (US Funds)
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Name on Card(*)
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Credit Card Number (Visa/Mastercard)(*)
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Expiration Month(*)
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Expiration Year(*)
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CVV(*)
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Prove you are not a robot(*)
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