Puget Sound Traditional Jazz Society


MEMBERSHIP APPLICATION




The Puget Sound Traditional Jazz Society is based in Seattle, Washington. We're dedicated to the performance and preservation of Dixieland, ragtime, Chicago and New Orleans styles, West Coast revival and the other great forms of trad jazz music.

To join us, print this form, fill out the information and send it with your payment to the address below.
Please enclose a self-addressed, stamped envelope.


Name______________________________________________________________________

Address___________________________________________________________________

City_____________________________________________State_____Zip____________

Phone____________________________Email____________________________________

MEMBERSHIP CLASSIFICATIONS Circle one
Dues for 12-month membership:  Single $25    Couple $40
Dues for lifetime membership:  Single $200   Couple $350

Patron, includes 1 or 2 lifetime memberships plus special recognition: $500

If this is a new membership, please check ______
If this is a renewal with new address, please check _____


Mail completed application form, with payment and a self-addressed, stamped envelope, to:

Puget Sound Traditional Jazz Society
19031 Ocean Ave
Edmonds, WA 98020-2344


The Puget Sound Traditional Jazz Society is a non-profit tax-exempt organization dedicated to the performance and preservation of traditional jazz. Your membership and contributions are tax-deductible. Thank you.

 

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2005 PSTJS | top photo by Jim Wilke | site design by Susan Pascal