Membership Type: 

New    Renewal  

Primary Name for  
Membership/Subscription: 

(full name as you'd like it to appear on mailing labels)

Secondary Name for   
Membership/Subscription:  

(if applicable -- spouse or other adult in household)  

Your Email Address: 

Phone (222-222-2222): 

Mailing address for newsletter: 
(street or PO Box)  

City: 

State:

Zip: 

Things you might be
willing to help with: 
(check all that apply)  

Newsletter - writing articles
Newsletter - layout
Newsletter - logistics (labeling/mailing)
Concerts - committee
Concerts - tasks (taking tickets, setup)
Festival (planning committee)
Housing Performers
Publicity and Promotion
Membership
Transportation
Other - contact me (or enter comment below)

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