SIGN ME UP!

Please print and complete this form (do a separate copy for each person), enclose your cheque, and mail it to:

West Coast Amateur Musicians' Society

2846 West 12^th Ave.,

Vancouver, B.C.

V6K 2P9

Name:



Address:



City:



Province/State:



Postal/Zip Code:



Home Phone:



Business Phone:



Fax:



E-mail:



Instrument(s):



Voice (SATB):



Beginner___________ Intermediate___________



Advanced____________ Semi-Professional___________



Individual ($30)__________ Family ($50)__________



Student ($15)__________ Senior ($15)__________



Group, No Library Privileges ($45)__________



Group, Library Privileges ($45 plus $1 per member; maximum $125)__________



Scholarship-Fund Donation__________



TOTAL__________



Groups with whom you rehearse and/or perform:

Check here if you do not wish that your name, address, telephone number and e-mail address be sent to other WCAMS members:

____ Do NOT send my contact information to other WCAMS members.

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