Copyright © Arizona Classic Jazz Society

A C J S

Print and mail this form and check to:

              Arizona Classic Jazz Society

              10918 E. Michigan Avenue

              Sun Lakes, AZ 85248

MEMBERSHIP APPLICATION

     We Always Welcome New Members¯

Name________________________________________________________________________


Address_____________________________________________________________________

City_______________________________

 State_______________________________________ ZIP____________

 Phone _____________________________

E-Mail________________________________________________________________

 
Would you be willing to receive your newsletter by email?   Yes _____    No _____
    New_______       Renewal________

Annual Dues:

Individual $25_______        Couple $35________ 

Student $5______

Individual Sustaining $100_______

Couple Sustaining $150_________

Business/Professional $150______

Lifetime Individual $200______________

Lifetime Couple $300_________________

Individual Patron of the Arts $500_______

Couple Patron of the Arts $750_________

Angel ($100 annual in addition to dues)______

Cherub ($50 annual in addition to dues) _____

 How did you hear about us?

_________________________________________________________________________________


ACJS has an “Angel & Cherub” program which will help support an out-of-state band for a monthly jazz party. 

All donors will be listed in the newsletter.

ARIZONA CLASSIC JAZZ SOCIETY