MEMBERSHIP APPLICATION 
(Please Fill Out, Print and Mail this Form)
Name:
Phone:
(home) (work)
Full Address:
Email:
Occupation:
Other interests and expertise:
Today's date:
 
I prefer to receive my newsletter in the following form(s) (please check only those that apply):
US Mail
E-mail with full text of document
E-mail only containing URL to web copy
I would like the following of my personal information withheld from directories distributed to members (check only if applicable):
All information withheld (fully private listing)
Home phone withheld
Work phone withheld
Postal addres withheld
E-mail withheld
I am interested in the following Society-related activities (please check all that apply):
Dances and milongas
Classes and Seminars
Assisting in a committee (newsletter, membership, events, publicity, etc.) Please indicate area of interest:
Being a board member or committee chairperson
I am willing to have my name and mailing address provided or sold to (check one):
Only organizations/providers of Tango-related events or products
Tango-related and others the board may deem of interest to members
No one!
Please fill out and print this form, and enclose your check for $15 (per person, if more than one person joining) to "The Tango Society of Boston, Inc." and mail to "The Tango Society of Boston, Inc., P.O. Box 390055, Cambridge, MA 02139-0055."

(Memberships are processed immediately but mailed in batches, so please allow up to 30-60 days for receipt of your membership materials.  If you wish to receive your card sooner, send e-mail to clifton@bostontango.org).

Check No.: Amount Enclosed:
How did you find out about the society or where did you get this form?

FOR SOCIETY USE ONLY
MN TY      
MS MT    
 
TangoLineTM (24-hour Boston-area Tango Hotline): 617-699-OCHO (-6246)