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Membership Form |
| Name____________________________________ Date____________ | |
| Address______________________________________________ | |
| City________________________________ State______ Zip_______ | |
| Email___________________________ Phone______________ | |
| New Member___ Renewing Member___ | |
| Do you work for a company that matches donations? Yes____ No____ | |
| Individual $25___ *Senior $20___ **Family $35___ *Senior Family $30___ | |
| Student $15__ Sustaining $50__ Sponsor $100__ Benefactor $250__ | |
| Patron $500 __ Affiliate Org. $35__ *ages 62+__ | |
|
*Available for people 62 and older **To help us plan programming for young people, please list all of those included in a family membership | |
| Favorite types of music______________________________________ | |
| Instruments played__________________________________________ | |
| Activities or events you would like to see________________________ | |
| How would you like to receive your newsletter? ___E-mail ___U.S. mail | |
|
___Web site committee ___Archive committee ___Membership committee ___Organize and run one monthly meeting ___Event publicity |
___Work at concert or event ___Help with newsletter/calendar ___Help with mailings ___Graphics committee |
___Make telephone calls to members ___Sell tickets in advance of event ___Serve on Board of Directors |
| Will play for an event where CFS receives an honorarium__ | ||
| We have on occasion opportunities to share the mailing list of our members
with other non-profit organizations who represent interests that our members
may have, such as the Tosco Music Party. We realize that some of you may
not wish to have your mailing address or e-mail address released to other
organizations. Please be advised that we would never sell our mailing list
nor give out our mailing list to organizations that would sell them. The
only purpose in our sharing the lists is to provide our members with more
information regarding upcoming events. In addition, these same organizations
share their lists with us so that we may let their members know of our
activities as well. If you do not wish your address to be shared, please
fill out the form below.
______ Please do not share my mailing address ______ Please do not share my e-mail address | ||