ClubUpdateForm

ACSC Club Update Form

Date Submitted

Todays Date

Check only 1

Full Member Subscriber Member

Check only 1, Full Member or Subscriber Member

For Year

ACSC Club Name

Subscriber Club Name

If your Club Name is not listed, then enter your Club Name Here

Club Address

City, State

Zip Code

New President's Name

President's Phone No.

President's Email

President's Email or email to be used for communication

Club's Web Address

New Officers Take Office

Club's Fiscal Year Begins

Name, address & Phone no. of facility, WHERE YOU DANCE

When your regular dance nights are held: DAY AND TIME

Name of person submitting this change request

Phone no. of person submitting this change request

Your Email

You will be emailed back a confirmation

Select a Photo of the President to Upload

Max File size of photo is 3000 kb. or 3mb