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Name____________________________________ Date____________ |
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Address______________________________________________ |
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City________________________________ State______ Zip_______ |
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Email___________________________ Phone______________ |
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New Member___ Renewing Member___ |
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Do you work for a company that matches donations? Yes____ No____ |
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Individual $12.50___ *Senior $10___ **Family $17.50___ *Senior Family $15___ |
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Student $7.50__ Sustaining $25__ Sponsor $50__ Benefactor $125__ |
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Patron $250 __ Affiliate Org. $17.50____ |
*Available for people 62 and older
**To help us plan programming for young people, please list all of those included in a family membership |
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Favorite types of music______________________________________
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Instruments played__________________________________________
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Activities or events you would like to see________________________
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| How would you like to receive your newsletter?
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