DINAH SHORE MEMORIAL FAN CLUB      ------   APPLICATION FOR MEMBERSHIP

 

 

NAME________________________________________________________________________BIRTHDAY___________________

 

ADDRESS___________________________________________________________________WANT PEN PALS?______________

 

CITY__________________________________________________STATE_____________________ZIPCODE________________

 

CLUB RECOMMENDED BY_____________________________________________E-Mail_______________________________

 

DO YOU COLLECT DINAH MATERIAL?_____ RECORDINGS_____ VIDEOS______CLIPPINGS______PHOTOS_________

 

Dues: $15.00 per year USA, $20.00  per year Foreign. Members receive a membership card, club button, 8x10 photo, information booklet, an annual journal, quarterly bulletins and all club privileges.  Send dues to club president:

 

Kay Daly - 3552 Federal Avenue - Los Angeles, CA 90066