[Newsletters] | [Fall 2001, p. 1] | [Fall  2001, p. 2] | [Fall  2001, p. 3] | [Fall 2001, p. 4]

			www.jazzfrombloomington.org
				Newsletter
			Jazz from Bloomington c/o Monika Herzig, President 3375 E. Old Myers Rd. Bloomington, IN 47408
			Phone: 555-555-5555 Fax: 555-555-5555 Email: xyz@microsoft.com
	Name              Address              Phone  (          )      Email        I would like to volunteer my time and talent to JfB: Yes ________ Special skills              Membership levels:   Student/Senior citizen (over 65) $15   Individual membership  $25   Family membership  $45   Program sponsorship  $100   Benefactor/Underwriter  $500   Angels     Open dollar amount Please clip and return this form with your check to: Jazz from Bloomington, c/o Monika Herzig, 3375 E. Old Myers Rd., Bloomington, IN 47408.

[Newsletters] | [Fall 2001, p. 1] | [Fall  2001, p. 2] | [Fall  2001, p. 3] | [Fall 2001, p. 4]