SOUTH SOUND BLUES ASSOCIATION

Name(s):__________________________________________________________________

Address: _____________________________________________________________________________

City, State: ________________________________Zip:

Home Phone: _______ Work Phone: Cell Phone:_

E-Mail:_____________________________________________________________

Do you prefer to receive SSBA newsletters via e-mail or U.S. mail? _____________________________

______ Student/Senior Membership $10.00/year (Date received by SSBA_________________)

______ Individual Membership $20.00/year (Date received by SSBA _________________)

______ Family Membership $30.00/year (Date received by SSBA _________________)

______ Band Membership $50.00/year (Date received by SSBA _________________)

______ Corporate Membership $TBD/year (Date received by SSBA _________________)

______ Lifetime Individual Membership $200.00 (Date received by SSBA _________________)

______ Lifetime Family Membership $300.00 (Date received by SSBA _________________)

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______ New Member

______ Gift From: ___________________________________________________________________________

Volunteer Skills: ______________________________________________________________________________

Occupation:___________________________________________________________________________________

Which committee/committees would you be interested in volunteering for?

_____ Publicity _____ Newsletter/Webpage

_____ Fundraising _____ Membership

_____ Merchandise _____ National Blues Competition

Are you a musician? (If so, what do you play?) ______________________________________________________

____________________________________________________________________________________________

What bands would you like to see? ____________________________________________________________________________________________________________________________________________________________

What are the venue locations you prefer? ___________________________________________________________

____________________________________________________________________________________________

Please make check payable to: South Sound Blues Association

Send to: P.O. Box 26303, Federal Way WA 98093-3303

For SSBA Use Only: Form Received: ___________ Welcome package sent: __________ Card Expires: _________

	ABOUT US Officers of South Sound - Application - By Laws
Hey, Blues Fans! Wondering why you should join the SSBA? For a $20 yearly individual membership fee, you will receive A regularly produced copy of the newsletter Monthly calendar of South Sound blues events The opportunity to submit articles and music reviews Special event email blasts Event and merchandise discounts A vote on important association matters The satisfction of knowing you're a part of the South Sound Blues community AND MORE!
SOUTH SOUND BLUES ASSOCIATION Name(s):__________________________________________________________________ Address: _____________________________________________________________________________ City, State: ______________________________________________Zip: ______________ Home Phone: _________________ Work Phone: ________________ Cell Phone:_______ E-Mail:_____________________________________________________________ Do you prefer to receive SSBA newsletters via e-mail or U.S. mail? _____________________________ ______ Student/Senior Membership $10.00/year (Date received by SSBA_________________) ______ Individual Membership $20.00/year (Date received by SSBA _________________) ______ Family Membership $30.00/year (Date received by SSBA _________________) ______ Band Membership $50.00/year (Date received by SSBA _________________) ______ Corporate Membership $TBD/year (Date received by SSBA _________________) ______ Lifetime Individual Membership $200.00 (Date received by SSBA _________________) ______ Lifetime Family Membership $300.00 (Date received by SSBA _________________) <![if !supportEmptyParas]> <![endif]> ______ New Member ______ Gift From: ___________________________________________________________________________ Volunteer Skills: ______________________________________________________________________________ Occupation:___________________________________________________________________________________ Which committee/committees would you be interested in volunteering for? _____ Publicity _____ Newsletter/Webpage _____ Fundraising _____ Membership _____ Merchandise _____ National Blues Competition Are you a musician? (If so, what do you play?) ______________________________________________________ ____________________________________________________________________________________________ What bands would you like to see? ____________________________________________________________________________________________________________________________________________________________ What are the venue locations you prefer? ___________________________________________________________ ____________________________________________________________________________________________ Please make check payable to: South Sound Blues Association Send to: P.O. Box 26303, Federal Way WA 98093-3303 For SSBA Use Only: Form Received: ___________ Welcome package sent: __________ Card Expires: _________

City, State: ______________________________________________Zip: ______________

Home Phone: _________________ Work Phone: ________________ Cell Phone:_______

City, State: ________________________________Zip:

Home Phone: _______ Work Phone: Cell Phone:_