CBA MEMBERSHIP FORM 2006
Print this page, fill out the form, mail it to us with a check!
Columbus Blues Alliance Membership Form 2006
Name |
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Address |
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City |
State |
ZIP |
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Phone |
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Ready to volunteer? |
YES |
NO |
For what event? |
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Membership Type |
$20.00 Newsletter Only |
$34.00 Gear+Newsletter Paper+Gear+ $5 shipping |
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CBA Shirt or Ball Cap? (pick one with $30 membership) |
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Shirt Size & Color |
S | L | XL | 2XL | 3XL | |||||||
FAVORITE LOCAL BAND/ARTIST:
FAVORITE NATIONAL BAND/ARTIST:
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There will be a $15.00 fee for any check returned to the CBA for insufficient funds
Mail form + payment to: Columbus Blues Alliance 1350 W Fifth Ave, 10-D, Columbus 43221
If we have to mail you a shirt or hat, an additional $4 for postage will be charged