** VdGS-NE Membership Application Form **
Mailing address:
Viola da Gamba Society - New England Treasurer P.O. Box 192 Belmont MA 02478 USA
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** VdGS-NE Membership Application Form **Mailing address: Viola da Gamba Society - New England Treasurer P.O. Box 192 Belmont MA 02478 USA |
| Membership Dues are currently $15.00. Please note that VdGS-NE dues are payable on an academic year schedule (September through August). In addition, space has been provided on this form for any additional tax exempt donation you may wish to make to help the VdGS-NE and its work. - Thanks! |
| Questions about becoming a member, or your current member status can be directed to Membership@vdgsne.org |
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Please check one: ___ New Member ___ Renewing Member
___ I would like to help organize a workshop in my area!
Name: _______________________________________________________________________
Address: _______________________________________________________________________
City: ____________________________ State: _____ Zip/Postal Code ____________
Telephone Numbers: _______________________________________________________________
E-Mail Address: ____________________________________
Tax Deductible Donation: _____________________________
Any additional information about yourself you would like to provide: _____________
__________________________________________________________________________________
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