Membership Application (print version)

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)

Date:

Signature