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SFMS Membership Form

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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

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logos: Pennsylvania Council on the Arts, Cultural Alliance of York County logo: National Endowment for the Arts

The Susquehanna Folk Music Society (SFMS) is supported by our members and many generous organizations.

Funding is provided by the Pennsylvania Council on the Arts, administered locally by the Cultural Alliance of York County.

Additional funding comes from the National Endowment for the Arts, which believes that a great nation deserves great art.

logo: National Endowment for the Arts logo: Pennsylvania Council on the Arts logo: CUltural Alliance of York County