Flagstaff Friends of Traditional Music Membership Form

Date:_________________ ___ Individual Membership - $12.00 per year

new membership____renewal____ ___ Family Membership - $15.00 per year

Name:____________________________________

Address:__________________________________ Make checks payable to: FFOTM and mail to:

City:_______________State:____ Zip:_________ FFOTM

Phone - Home:_______________Work:________ P.O. Box 23366

E-Mail Address:___________________________ Flagstaff, AZ 86002