ACSC_OnlineClubUpdate

Shag Club Update Information

Date Submitted:

Full or Subscriber Member:

Full Member Subscriber Member

For Year:

Select Your Club:

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

Club Address:

City, State

Zip Code

President:

Phone Number

Vice President

Phone Number

Secretary

Phone Number

Treasurer:

Phone Number

One Email Contact

Hotline Phone Number:

Web Address

Name of Newsletter

Annual Dues

Fiscal Year Begins:

Month New Officers Take Office:

List day, facility, city, etc. where club meetings are held:

List day, facility, city, etc. where Shag Nights are held:

Is there a radio station in your area that plays shag music?

Station Name:

AM/FM Channel:

City of Origin:

Phone Number

Format, or info about special shows, etc. related to beach/shag music:

Your Name:

Your Phone:

Select a file (Picture) to UPLOAD: