Leaders Guild Fee Support Application

Please provide the following information to apply for fee support for your annual $36 Leaders Guild fees. We ask that you pay a portion of your fees, if possible.

First Name
Last Name
Email Address
Address
City
State
Zip Code
Your Mentor's Name

Please state in this box the reason(s) you request fee support. All responses will be kept confidential.

Please indicate the amount you are able to pay toward your fees:$
Please Select Payment Method

If paying by check, Please mail to:
Dances of Universal Peace International
P.O. Box 55994
Seattle, Washington 98155-0994