 membership
form |
[Print this page and fill out the form, see mailing information
below]
Date:___________________________________________________
Name:__________________________________________________
Address:________________________________________________
Phone:__________________________________________________
E-mail:__________________________________________________
______
($25 / 1-year membership) ______ ($15 / students)
[Check one / based on membership year, October 1 - September
30]
$_______ If you wish to make an additional tax deductable
donation,
please enter amount here and include it with your check.
Make check payable to CGSUNY, and mail it with this form
to:
CGSUNY
8 Banta Place
Stamford, NY 12167
Phone:
607-865-8775
E-mail:
musicalm@hancock.net