Membership Application Form

Name: _________________________________________________________________________

Address: ______________________________________________________________________

City/State/Zip___________________________________________________________________

Phone Number: (           )                                                                                                                  

 

Yes, I would like to become a member

❑ Family Membership – $35.00 annual

Member #1: _________________________

Member #2: _________________________

Member #3: _________________________

Member #4: _________________________

❑ Individual Membership – $25.00 annual

❑ Student Membership – $20.00 annual

❑ Senior Membership – $20.00 annual

Total Donation:___________

 

• Please make your tax-deductible donations (#94-3074301) to:

San Francisco Gu-Zheng Music Society

Mail To:

San Francisco Gu-Zheng Music Society

450 2nd Avenue

San Francisco, Ca  94118