2008 - 2009
Membership Registration

Please submit form by September 23, 2008 in order to be included in the Chi-Town member directory

* = Required field
* First Name:
* Last Name:
* Street Address 1:
  Street Address 2:
* City:
* State:
* Zip Code:
* Home Telephone:
  Work Telephone:
  Cell Telephone:
  Home E-mail:
  Work E-mail:
* Dance Level:
  Birthday (month and day):
  Occupation:
Note: A link to the online version of the club newsletter, Spread & Circulate, will be sent monthly via e-mail. A limited number of print copies will be available at Chi-Town events for pick-up and only mailed to members without access to e-mail.

Membership dues are $40.00*

* $25.00 if you live outside of the following area codes:
219, 312, 630, 708, 773, 815, 847

* Chi-Town membership payment: Check PayPal Cash

We are all volunteers. We need your help!
Please indicate in which committees you would like to participate.
ClassesFund RaisingSocial/Dances
RefreshmentsDecorationsCrossfire
Communications/NewsletterCommunity OutreachPride Parade/Market Days
Membership/DirectoryRecruitmentBoard Membership


If you are not using PayPal to pay for your registration, you may bring your payment to any
Chi-Town Squares function or mail to:
cowboys2.jpg (14634 bytes)
Chi-Town Squares
c/o
Membership Director
PMB 167
5315 N. Clark St.
Chicago, IL 60640-2113
cowgirls2.jpg (11462 bytes)