To become a member of the Northern Colorado Traditional Jazz Society, just print this application, fill it out, and mail it to us with your check – your membership card will soon be on its way.

Yes, I want to join the Northern Colorado Traditional Jazz Society!



Name(s)
-


Address
-


City, state, zip
-


Phone(s)
-


E-mail
-


Enclosed is my payment for:

check box  $25 Family Membership for one year

check box  $15 Single Membership for one year

check box  $5 Student Membership for one year
   (under 21 or full-time student)


check box  Please add my name to your temporary mailing list and send a sample newsletter.


Mail to:

Northern Colorado Traditional Jazz Society
P.O. Box 1304
Fort Collins, CO 80522




left-pointing arrow Click here to go back to the Come Join Us page