Contact

Rosemary Sendao, Treasurer
Associated Dance Teachers of New Jersey
800-825-0933
treasurer@associateddanceteachers.com

2021-22 ADT-NJ Dues Payment

* Required information

Member Information...for ADT-NJ's Database

* First Name:
* Last Name:
* Email Address:
* Confirm Email Address:
* Address 1:
Address 2:
* City:
* State:
* ZIP Code:
* Cell Phone:
Alternate Phone (please indicate studio or home):

Fee

Type	Fee
2021-22 ADT-NJ Dues Payment	$75.00
2021-22 ADT-NJ Dues Payment + $10 Workshop Scholarship Donation	$85.00
2021-22 ADT-NJ Dues Payment + $25 Workshop Scholarship Donation	$100.00
2021-22 ADT-NJ Dues Payment + $50 Workshop Scholarship Donation	$125.00
2021-22 ADT-NJ Dues Payment + $75 Workshop Scholarship Donation	$150.00
2021-22 ADT-NJ Dues Payment + $100 Workshop Scholarship Donation	$175.00

Website Listing...Studio Finder (only fill out what you want published on our website)

Company:
ADT-NJ Members Associated With The Above Studio:
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Address 1:
Address 2:
City:
State:
ZIP Code:
Phone:
Website:
Studio Email:

Payment

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