Membership Form
Join the Polka Booster Club of America!
Your membership helps keep polka music alive and thriving!
đź“Ś Annual Dues:
$15 per person | $30 per couple
đź“Ś Member Perks:
✔️ Exclusive “Member” discount on all dances
✔️ Membership Appreciation Punch Card – Get a punch for each dance you attend. After five punches, you’ll be entered into a special drawing for appreciation gifts! (In 2024, President Mindi donated beautiful gift baskets for lucky winners.)
✔️ Membership Appreciation Picnic – Enjoy a summer gathering in July as our way of saying thanks!
Fill out the form below to join, then submit your payment via PayPal.
We can’t wait to welcome you!
Payment Options:
✔️ Pay Online: Click the PayPal button below to pay securely with PayPal, debit, or credit card.
✔️ Pay by Check: Make your check payable to Polka Booster Club of America and mail it to:
Polka Booster Club of America
c/o Michael Biesiadecki
25120 Doxtator
Dearborn, MI 48128