Name:		Date:
Address:
City:	State:		Zip:
Home Phone:
Work Phone:
E-Mail:
Occupation:
I am interested in being a Schuhplattler / Folk Dancer:
I would like to join with a non-dancer status:

Please print and send your completed application to:

Bavarian Club Almenrausch

Attn: Rainer Grimme

402 Birch Street

Liverpool, NY 13088

Please include your $15 yearly dues with this application.

(Dues are $7.50 after June 30 of first year's membership)

Or click here to download the application in .PDF format.

If you do not have Adobe Acrobat Reader, click here to get it free.