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For new and existing Members, complete the form below

New Members - Upon my application being accepted, I agree to abide by the rules and    By-Laws of the Rose City Rock 'n' Roll Revival Club.

Adult $25.00 annual subscription and $2.00 entry fee per club night, or

Adult Prepaid $85.00 ($25.00 + $60.00 entry fee for the year)

Junior (Under 18 yrs) $5.00 annual subscription and $0.50 entry fee per club night