Piedmont Classic Guitar Society

Membership Application and Renewal Form
Print this form, fill it out and mail with your membership fee to:

Piedmont Classic Guitar Society, 3788 Heathrow Drive, Winston-Salem, NC 27127

 

Name:         

 

Address:           

 

City:                                                     State:                           Zip:

Phone:        

 

Email:

Are you interested in volunteering for the Society? (circle one)          Yes       No

Payment Info. (circle one):             Cash        or      Check No. _____________________          

Member Status (circle one):           New Member                or               Renewing Member

 

Type of Membership   (Check One)

 

Student

$7.50

 

Individual

$15.00

 

Senior Citizen 

  $7.50

 

Family

$20.00

 

Associate *

$25.00

 

Sponsor *

$50.00

 

Patron * 

$100.00

 

Benefactor * (lifetime)

$250.00

 

 

*Amounts of $25.00 or more are tax-deductible contributions and include membership.

 

Note that memberships are renewed each year on January1st. If you are a new member joining after  Nov. 1st,

your membership will be effective until October the following year.

 

Please make checks payable to: Piedmont Classic Guitar Society

Call 336-316-2376 with questions or for more information or visit our website at www.piedmontclassicguitarsociety.org