Saturday, February 17, 2007

Membership Application

Membership Application

Print and mail this or click here:

Yes! I’d love to be a part of the Crossroads Blues Society!

Name________________________________________ Phone___________________________

Street Address__________________________________

City________________________ State___________ Zip Code___________

Email Address_________________________ New_____ -or- Returning_____ Member

This will be a membership for an: _____individual ($15) _____family ($25)

Please cut out and mail this form and payment to: Find out about the next meeting date &
Crossroads Blues Society bring this along with you!
P.O. Box 722
Freeport, IL 61032

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