APPLICATION TYPE: New          Renewal

MEMBERSHIP LEVEL (check one) – MEMBERSHIP INCLUDES SPOUSE:

General $50 - $99 Sponsors concert tickets for up to 10 students 

PRELUDE $100 - $249 Sponsors concert tickets for up to 50 students

SONATA $250 - $499 Sponsors concert tickets for up to 100 students or bus transportation for up to 160

CONCERTO $500 - $999 Sponsors concert tickets for up to 200 students or bus transportation for up to 330

SYMPHONY $1,000 - $4,999 Sponsors sholarships for young performers who win competitions

CONCERTMASTER $5,000 - $9,999 Sponsors scholarships, the classroom docent program, and purchase of educational material

CONDUCTOR'S CIRCLE $10,000+ Sponsors scholarships, the classroom docent program, purchase of educational material, showcase events, and special projects

Active pre-K-12 TEACHER $25 Helps promote public-school music education

AFCM Remembrance Fund in honor or memory of another individual. Indicate reason for the contribution

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Name(s) as you wish it to appear in AFCM Membership Directory

TITLE: Mr & Mrs    Mr     Mrs     Ms    Miss     Dr

Other

Name__________________ Spouse's Name____________________

Address________________________________

City_____________________ State_____________ Zip Code_____

Telephone____________ Fax___________

E-Mail___________________

Amount Enclosed: $________