Thank you so much for joining the Suncoast Dixieland Jazz Society. It's because of folks like you that enable us to continue with such a wonderful art form. We look forward to seeing you at many of our upcoming events.
WELCOME NEW MEMBERS
MEMBERSHIP APPLICATION / RENEWAL
Date: _____________
New: _____ Renewal: _____
Name(s): _________________________________________________
Address: ___________________________________________
City: _____________________________ State: ____________
Zip: ____________ Phone: _____________________________
email address: _______________________________________
Check circle one: Patron - Family - Individual - Corresponding (Newsletter Only)
Would you like to be a volunteer? If so, please indicate in what capacity:
_______________________________________________________
Referred by (if applicable) ___________________________________
Please complete the application / renewal form and make check payable to the SUNCOAST DIXIELAND JAZZ SOCIETY, INC. and mail to:
SUNCOAST DIXIELAND JAZZ SOCIETY, INC
P.O. Box 1014
Largo, FL 33779-1014
JOHN LAMB
ROBERT SULLIVAN
JAY HART
BETTY SNODGRESS
LAURA RUETERFORS
LUANNA FROLICK
OWEN & NAN HOLZBORN
JOE WALL
STEVE MAKOWSKI
BILL & JAN HARROUN
ANNUAL DUES:
Patron (Couple or Individual) $125.00
Family (Couple) 40.00
Individual. 30.00
Corresponding (Newsletter Only) 25.00
Student (Full-time) with student card .. No charge