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._____ |