If you would like to become a member of the Jazz Arts Foundation, print this application

and mail it, along with your check or money order for the appropriate amount, to

The Jazz Arts Foundation, Inc., Attn: Secretary, PO Box 163,

Lexington, KY 40588-0163.

 

Please print:

 

Name: _________________________________________________________________

 

Address: _______________________________________________________________

 

City: ____________________________________ State:  _____ Zip: ______________

 

Home Phone: _______________________ Work Phone: _______________________

 

Cell Phone: _________________________ Email: _____________________________

 

I heard about JAF from / at: ______________________________________________

 

__  Renewal (in January of current year) __ New Member (in January of current year)

 

__ Individual Membership (IND) - $40 per year

__ Couple Membership (CPL) - $55 per year

__ "Friend" of the Foundation (FR) - $65 per year

__ "Patron" of the Foundation (PAT) - $115 per year

__ “Donor” to the Foundation (DNR) - $200 per year

__ Student (full time) - $20 per year

__ Senior (55 years or older) - $25 per year

 

PRORATED MEMBERSHIP FEES FOR NEW MEMBERS

Membership runs from 1/1 to 12/31 of each year.

Please enclose your check for the amount shown in the table below

according to the membership category you wish to join as:

 

__  New Member (circle amount)  __  Reinstatement (circle amount)

 

JOIN MONTH	IND	SR	ST	CPL	FR	PAT	DNR
JAN - MAR*	$40	$25	$20	$55	$65	$115	$200
APR - JUN*	$30	$19	$15	$41	$49	$  86	$150
JUL - SEP*	$20	$13	$10	$27	$33	$  57	$100
OCT - DEC	$50	$31	$25	$69	$81	$144	$250

 

* Fee pays for balance of current year.

NOTE: OCT - DEC fee covers from the balance of the

current year through 12/31 of the following year.