Join ALS
Please fill out, print and mail this form and your US funds check (payable to American Liszt Society) to:
Justin Kolb
Executive Secretary
1136 Hog Mountain Road
Fleischmanns, NY 12430
Tel: (845) 586-4457
E-mail: mellon@catskill.net
Membership is by calendar year.
Please indicate year of this enrollment:
- New
- Renewal
Type of membership:
- Individual: $40.00
- Family: $50.00
- Contributing: $100.00
- Supporting: $250.00
- Life: $400.00
- Family Life: $500.00
- Donor: $500.00 (includes Life
membership)
- Institutional: $60.00
- Student: $20.00
Chapter dues: $10.00 (in addition to one of the above categories)
Please indicate Chapter:
I wish to help the ALS with a contribution of: $
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I prefer to receive ALS mail at:
Home
Work
If convenient, please include a short professional resumé.
If you wish to participate in activities of the Society, please indicate your order of preference:
Performance
Paper Presentation
Publish in JALS
Work to develop local Chapter activities
Host Concerts in the Home