MEMBERSHIP APPLICATION

Please check the applicable boxes and mail to:
America's Finest City Dixieland Jazz Society
P.O. Box 880387
San Diego, CA 92168-0387
Telephone: (619) 297-5277

NEW RENEWAL

Please contact me regarding volunteer work for AFC Dixieland Jazz Society

Name __________________________________________________ Date __________

Address ____________________________________________________________________

City ________________________________ State _______________ Zip ___________

Phone ________________________________Email:______________________________

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