Membership Type:
___ Individual $25, $45/2 yr
___ Performing Artist $25, $45/2 yr
___ Student/Senior $20, $35/2 yr
___ Family $40, $75/2 yr
___ Organization $75, $145/2 yr
___ Patron $100
___ Donation $__________
Amount Enclosed $__________
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Name__________________________________________________
Home Phone______________________________
Address________________________________________________
Work Phone_______________________________
City______________________________State_____Zip__________
Email Address___________________________________________
From time to time, Folknet
shares its list of members with other organizations for
related purposes. If you do not want your name included,
please check here._____
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