Membership Checkout - Alberta Dance Alliance

Purchase a Membership

Membership Type

Username

Password

Confirm Password

First Name

Last Name

Phone Number

E-mail Address

Confirm E-mail Address

Full Name LEAVE THIS BLANK

Would you like to set up automatic renewals? *

Yes, renew at $107.00 per Year.

* An 'automatic renewal membership' is billed annually on the anniversary of your registration and requires an existing (or the creation of a new) PayPal account for processing this recurring payment. Your subscription can be cancelled at anytime. Alberta Dance Alliance does not store your credit/debit card details. For more information about which membership option is best for you, feel free to contact our office.

Billing Address

First Name

Last Name

Address 1

Address 2

City

State

Postal Code

Country

Phone

Payment Information We Accept Visa, Mastercard, American Express, and Discover

Card Number

Expiration Date /

Security Code (CVC) (what's this?)

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