Editor, Webmaster: Phil Cartwright Editor@earlyjas.org
Membership Form
We don't have on-line Internet membership enrollment. Please print this
form or just write a letter to the EARLYJAS Secretary, address below.
NAME: ___________________________________________________________________
(Include second name if couple/family membership)
ADDRESS: ________________________________________________________________
CITY: _________________ STATE/Province________________ ZIP: __________
TELEPHONE: ___________________ EMAIL: ______________________________
Single membership $20.00 _________ Family membership $25.00 __________
For family members at same address.
Are you or any family members musicians? Yes _____ No _____
Instrument(s) _____________________________________
Do you want to receive the EARLYJAS Rag by US Mail?____ Or by email? _____
Suggestions for future programs: __________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Mail Membership Form and check to: EARLYJAS, PO Box 1621, Kent, OH 44240
Questions? Email editor@earlyjas.org or call 330 678 5903
EARLYJAS
Earlville Association for Ragtime Lovers Yearning for Jazz Advancement and Socialization
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