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FINE AND PERFORMING ARTS SUPPORT SINGLES

Printable Application for Membership and Request for Free Newsletters

1 Please send the next two newsletters free.
Please fill out and mail this form to receive the next two newsletters which feature our detailed calendar of events.
  1 Please accept my application for membership.
To join, please print, then complete, sign and date the form below and enclose payment for your dues.

                   
Name:  
  Last First
                   
Home Address:  
  Street/Apt. No City State Zip
                   
Home Phone:    
                   
Bus Phone:    
                   
Email Address (if applicable):  
                   
How did you find out about Crescendo?  
                   
Name of Crescendo member who referred you to Crescendo(only if applicable)  
                   
1Social Events       1Publicity       1Membership       1Newsletter

I hereby certify that I am applying for membership in Crescendo.  I agree to always conduct myself at Crescendo functions in a manner that reflects positively on Crescendo.   I also certify that I am 21 years of age or older and unmarried – specifically I am widowed, divorced ospecifically I am widowed, divorced or never married.

I am enclosing a check payable to Crescendo for:
1 $30 if new member (expires 5/31/10)
1 $30 if current member renewing my membership (expires 5/31/10)
                   
X     Date:  
Signature


Please mail this form to:  
Crescendo, P.O. Box 84, Mt. Olive, AL 35117
(Please include payment if applying for membership) 
For additional information, please contact:
Dan Frederick   (205) 631-4680
or crescendo@bellsouth.net or
Cindy Sikes  (205) 956-2190

Click here for smaller black & white print version

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