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ARIZONA OLD TIME FIDDLERS ASSOCIATION

APPLICATION FOR MEMBERSHIP

ANNUAL RENEWAL OR CHANGE OF ADDRESS

MEMBERSHIP DUES - $12

Please Print Name ________________________________________________________________________________

Summer Address _________________________________________________________________________________

City ___________________________________________________________ State ___________  Zip ____________

Telephone ______________________________________________________________________

 

Winter Address (if different) ________________________________________________________________________

City __________________________________________________________ State ____________  Zip ____________

Telephone ______________________________________________________________________________________

 

Man's Birthday __________________________________________________________________________________

Woman's Birthday _______________________________________________________________________________

Anniversary __________________________________________________________, Year _____________________

Children's names and birthdays

______________________________________________________________________________________________

______________________________________________________________________________________________

                        Children 13 or older must be entered on the Membership list to have voting privileges

 

                        ( )  Catalina Mountain                                                         ( ) Territorial (Yuma)

                        ( ) Mile High (Prescott)                                                       ( ) Verde Valley (Cottonwood)

                        ( ) SAOTFA (Tucson)                                                         ( )  Valley (Phoenix)

                                                                    ( ) Independent

 

            All members may join ONE principle chapter as a regular member and other chapters as associate members.

                           State association dues may be combined and paid to the chapter membership secretary.

                                Independents must send dues to the State Membership Secretary named below.

 

                                                                        Noreen Johnston

                                                                        7470 Derryberry

                                                                     Flagstaff, AZ  86004


 

This website is the property of the

Arizona Old Time Fiddlers Association

7470 Derryberry Lane

Flagstaff, AZ  86004

Last Updated 12/25/2007