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We invite you to
join us in nurturing and encouraging the jazz scene in Bloomington and the
surrounding area. Please become a member of this not-for-profit community
organization. All contributions above the "Individual" level of
$25 are tax-deductible.
Please print out the following form, complete it and send it
to us with your check for the appropriate amount. Thanks for joining JfB!
| Name |
____________________________________________________________________ |
| Street Address |
____________________________________________________________________ |
| City, State,
Zip |
____________________________________________________________________ |
| Phone ________________ |
E-mail _____________________________ |
Please
mark here if you would like to receive e-mail announcements from
us. _________
Please check and
fill in if appropriate:
I would like to
volunteer my time and talent to JfB _____.
Special skills: _________________________________________________________
____________________________________________________________________
Membership levels:
Student/Senior
Citizen (over 65) $15 ____
Individual $25 ____
Family $45 ____
| Program Sponsorship $100 ____ |
| Benefactor/Underwriter $500 ____ |
| Angel $500+ ____ |
Comments: ______________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
After completing
the form, please send a check in the appropriate amount, made out to "Jazz
from Bloomington," to:
Jazz from Bloomington, Memberships
c/o Carl Weinberg
2512 Spicewood Lane
Bloomington, IN 47401
We will send your
membership card, which entitles you to discounts at JfB concerts.
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