Gulf Jazz Society Membership Application

This is a –

New application

Renewal


I’m applying for -

Individual membership /$20.00 annual

Family /$30.00 annual

Student /$10.00 annual

Associate Corporate /$250.00 annual

Corporate /$500.00 annual

Individual Life /$250.00 one time


Name: _________________________________________________

Other name (for couples): __________________________________

Mailing address:

___________________________________________________________

___________________________________________________________

___________________________________________________________

Telephone: _________________________________

Email:_________________________________

Are you a musician? Instrument?

______________________________________________________

Would you be interested in serving on any of the GJS committees – such as Festival, Jazz Gumbo, Membership, Media/Publicity, Newsletter (JazzNotes), Education/Scholarship, or Special Events?

Please indicate below.

______________________________________________________________________

______________________________________________________________________

Mail application & check to:
Gulf Jazz Society
P. O. Box 1535
Panama City, FL 32402