PAC Greenie

Name *
Name
Address *
Address
Home Phone
Home Phone
Business Phone
Business Phone
Cell Phone
Cell Phone
My MEMBERSHIP CATEGORY FOR NEXT YEAR is *
$
$
Payment Method *
Do you wish to PERFORM on a musicale? *
Preferred PERFORMANCE month (select all that apply)
Performance Preference
Do you wish to HOST a meeting? *
Preferred HOSTING Month (select all that apply)
Do you have a piano in your home?
Do you wish to be a TEA HOSTESS? *
Preferred TEA HOSTESSING Month (select all that apply)
Which committees you are willing to participate in? *