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SFMS Membership Form

Print this page and fill it out, then mail to the address at the bottom.

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PLEASE PRINT CLEARLY.

 SFMS USE ONLY:
Memb#______ Exp_____

Date_________

Name______________________________

Address____________________________

City_______________________________

State__________ Zip+4_______-______

Phone_____________________ (  )H   (  )W

Email_______________________________
(  )New   (  )Renewal     (  )Address Change

I'd like to help make it happen. I could volunteer to:
(  ) Provide a refreshment at concerts
(  ) Take tickets, sell refreshments or media at concerts
(  ) Staple, stuff, stamp newsletters for mailings
(  ) Distribute/post flyers for publicity
Please call SFMS at 717-763-5744 with any questions.

(  ) FOR MEMBERS ONLY: I would like to be listed in the SFMS Resource List. I have attached a paragraph describing my folk interests and talents.

SERVICES:

(  )  $8 Newsletter Subscription

(  ) $25 Individual Membership
      * Newsletter Subscription
      * Admission Discounts

(  ) $40 Family Membership
      * Newsletter Subscription
      * Admission Discounts -- to all family members listed below, living at the same address:

__________________________________

CONTRIBUTION (tax deductible):

A written acknowledgment will be sent that may be used as a record of charitable contributions of $250 or more.

(  ) Check if you do not want to be publicly recognized for your donation

(  ) Check to "go green" and read your newsletter online

(  ) $_____ Fan ($1-$49)
(  ) $_____ Special Guest ($50-$99)
(  ) $_____ Feature Act ($100 or more)

$_______ TOTAL ENCLOSED

Thanks for your support!

The Susquehanna Folk Music Society is a 501c3 non-profit corporation. Contributions are tax deductible.

Please mail your check, payable to SFMS, and completed form to:
SFMS, c/o 378 Old York Rd., New Cumberland, PA 17070.

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Funding Acknowledgments

The Susquehanna Folk Music Society (SFMS) is supported by our members and many generous organizations, including the Pennsylvania Council on the Arts.