APPLICATION


CENTRAL NEW YORK BLUEGRASS ASSOCIATION

Please print this page and mail to CNYBA at the address shown below.


NAME__________________________________________________________________________

ADDRESS_______________________________________________________________________

STATE___________________________ZIP______________PHONE_______________________

E-MAIL ADDRESS ______________________________________________________________

Check here ____ if you are willing to receive the newsletter via email. It saves the Association money and is appreciated.

Choose your membership:

Individual Active ($10)____   Band ($20)____
Individual Senior--62 and older ($9)___   Gift Certificate**
Family ($15)____    

**TO____________________________________FROM_______________________________

ADDRESS_______________________________________________________________________

STATE___________________________ZIP______________PHONE_______________________

E-MAIL ADDRESS ______________________________________________________________

Make checks payable to CNYBA and mail to:

Helen Weldon
2446 Hillview Dr. #17
Cato, NY 13033
(315) 626-2603.

Members receive a newsletter. All members can vote on all business matters.

 

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CNYBA
PO Box 491
Baldwinsville, NY 13027
www.cnyba.com
Copyright 2002
All Rights Reserved.

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