Date: ________________
Name: ______________________________
(include both names if family membership)
Address: _____________________________
City: ________________________________
State: __________Zip: __________________
Telephone: (___)_____________________
Type of Membership Desired:
[ ] Associate [ ] Performing
Instrument Played:__________________
I enclose my dues for this year:
[ ] $25 Individual Membership
[ ] $30 Family Membership
[ ] $____Tax deductible contribution
I would be interested in possibly working on
the following committees:
[ ] membership [ ] audition
[ ] scholarship
[ ] hospitality [ ] publicity
[ ] nominating
[ ] telephone [ ] newsletter
[ ] publicity
[ ] program [ ] musicale
[ ] service program [ ] performing workshop
[ ] national music week [ ] fund raising
[ ] library piano
Mail to:
Santa Barbara Music Club
BOX 3974
SANTA BARBARA CA 93190
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Last updated 9/3/1999