North Shore Square & Round Dance Association (NSSARDA) Annual Questionnaire for 2010-2011
1. Club name: __________________________________________________________________ Date completed: _____________
Mailing address: _________________________________________________________________Total number of club members: _________
Addr. cont. ______________________________________________________________________________________________________________________
2. Club officers:
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Name & Street or P.O. Box Address |
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President
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Vice-Pres.
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Banner CHMN
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Publicity CHMN
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3. NSSARDA Delegates (2 Couples or 4 Singles):
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Name & Street or P.O. Box Address |
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Delegate #1
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Delegate #2
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Delegate #3
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Delegate #4
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4. Send NSSARDA meeting notices to (CIRCLE ONE): Club addr. President Vice-Pres. Banner Publicity Delegate #1 #2 #3 #4
5. Is your club a banner club? YES_______ NO_______
6. Club Caller: _______________________________________________ 7. Club Cuer: ________________________________________________________
8. Class Caller: ____________________________ Class night_______ Location______________________________________________________________
9. Workshop Caller: _________________________ Workshop Night________ Location_________________________________________________________
10. Club anniversary date: _________________ Special anniversary in 2010-2011 season? Number: ________ Annual election month:________________
11. Comments or questions you might have regarding NSSARDA? (Please use reverse side for questions & comments.)
12. Does your club have an E-MAIL address? If yes, please indicate___________________________________________________________________________
13. Does your club have a Web Page? If yes, please indicate_________________________________________________________________________________