NAME (Please
Print, last name
first)______________________________________________________________
ADDRESS
___________________________________________CITY__________________________________
STATE _______________ZIP CODE(Nine digit)______________
PHONE____________________
E-MAIL ADDRESS___________________________________ REGULAR MEMBER ( ) STUDENT MEMBER ( )
INTERESTS (check all that apply)
| Accompanist | ( ) | Non-Performing | ( ) | String Ensemble | ( ) |
| Chamber Music | ( ) | Opera | ( ) | Sunday Programs | ( ) |
| Choral | ( ) | Organ | ( ) | Vocal | ( ) |
| Composers | ( ) | Piano | ( ) | Woodwind |
( ) |
| Regular:
$60.00 ( ) |
Spouse:
$35.00 ( ) |
Student - 18 to 30:
$10.00 ( ) |
MUSICAL BACKGROUND (Optional)
Instrument (s) or Voice
Musical Education
Degree(s) Earned
Private Teacher(s)
Musical Experience:
| TUESDAY
MUSICAL CLUB STEPHEN FOSTER MEMORIAL UNIVERSITY OF PITTSBURGH PITTSBURGH, PENNSYLVANIA 15260-6695 |