Name
_____________________________________________________
Street
Address _____________________________________________
City/State/Zip
_____________________________________________
Telephone
Home ____________________________________________
Telephone
Work ____________________________________________
E-mail
address _____________________________________________
If you
were referred to us by a GFOJ member, please list the name of the member:
__________________________________________________
Membership
Level (check one): (see web site for descriptions and benefits of each level)
____Student
($15) ____Individual ($35) ____Family ($75)
____Donor
($150) ____Patron ($375)
____Benefactor
($750) ____Corporate ($1,000)
Make
check payable and mail form to:
Annual
dues are payable no later than the anniversary date of the end of the quarter
of initial GFOJ membership.
Contributions are tax-deductible as defined by IRS rulings governing 501(c)(3) organizations.
For more
information, call Gainesville Friends of Jazz at 352.379.0300.