Official BSR Membership Application
Accept No Cheap Substitutes
(Data herein are secure and will not be sold to IRS, junk mailers, AT&T, etc.)
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PHONE or EMAIL (for verification)
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IF A MUSICIAN,
WHAT INSTRUMENT(S)
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Annual dues include discount admission to Sunday Sessions and a subscription to OffBeat
 INDIVIDUAL $20.00 | COUPLE $35.00 |
What is your preference in music? (Check one): JAZZ
Would you occasionally be a volunteer at BSR events?: YOU BET! NO WAY
Print this beautifully hand-crafted form, fill in the blanks and check
some boxes, then mail it along with a whole bunch of money to
Basin Street Regulars
Cylla Stanley, Membership Chairman
330 E. Enos Dr. #55
Santa Maria, CA 93454
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(DO NOT WRITE IN THIS SPACE) |