Membership Application
(Fill out form, print and mail with your dues-$15.00* per year)
[* Because of the cost and the amount of work it takes to print,
staple, fold, seal, and stamp the Cotton Patch Rags each month, we are going to
start converting as many memberships as possible to digital rather than paper
newsletters. Beginning in October, renewals and new memberships for people who
want a paper version of the Cotton Patch Rag will be $20 rather than the $15 it
currently is. Memberships with a digital newsletter will remain at $15.]
| Is this a new membership? | Renewal? |
| Is this a new address? | Rejoin? |
| Name: | Today's Date: |
| Street: | Enclosed Amount: |
| City: State: | |
| Zip: | |
| Home Phone: |
Email: |
| Work Phone: |
| Do you: | Tell stories | Do you perform: | Solo | Just listen? |
| Sing lead | Duo | |||
| Sing Harmony | Trio | |||
| Play an instrument | Quartet | |||
| or More |
| Type of music performed: | |||
| Traditional Folk | Jazz | Bluegrass | |
| American | Dixieland | Country/Western | |
| British Isles | Barbershop | Western Swing | |
| Rockability | Contemporary Folk | Other | |
| Blues | Children's songs | ||
Are you interested in performing in public?
| Are you interested in: |
| Volunteer only (schools, hospitals, etc,) |
| Paying gigs only |
| Both paying and non-paying gigs |
Make check payable for $15.00 to:
Houston Folklore & Folk Music Society
PO Box 720314
Houston, Texas 77272-0314