Membership Checkout – Boots in Squares

Membership Information

You have selected the Name Badge membership level.

Members can purchase a name badge for use at dances and events. Your badge will include your first name. Please make sure to add that in your order.

The price for membership is $25.00 now.

Account Information

Username

Password

Confirm Password

Email Address

Confirm Email Address

Full Name LEAVE THIS BLANK

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Your Name

First Name

Last Name

Badge

First Name

Include your first name, as you would like it to appear on your badge.

Pay by Check

Payment by check may be made at any regular scheduled club night, or you can submit payment by mail.
Make Check Payable To: Boots In Squares
Mailing Address : Boots In Squares PO Box 5185 Palm Springs, CA 92263 United States
Currency: USD

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