Please print out this form, fill it in , and mail as indicated at the bottom of the form.  (To pay online via credit card, paypal, or google, go to http://fmsny.eventbrite.com.)

OK, I'd like to become a member and help support the club.

Membership:

One-Year Dues
$38 individual; $55 family/dual;
full-time student/low income
$25 individual; $30 family (please state reason: _______________)
Two-Year Dues
$70 individual, $100 family/dual (one household).

Memberships above include newsletter and reduced admission to our concerts, weekends and many other events.

Long Distance Membership (more than 50 miles from midtown Manhattan):

One-Year Dues $30 Individual, $48 family/dual
Includes newsletter, weekend discounts, and voting privileges

[  ] I wish to be a supporting member, my check includes an additional $_________ over regular dues.  (Additional contributions are tax deductible, as permitted by law.)

[  ] I want the newsletter online instead of by mail.  (You will be notified of the download link for each issue.)

Name(s):

Address:

Phone/Email: