JAVS Fall 2003

Membership Dues

0Referred by ---------------------------

AVS Local Chapter Dues: Membership in A VS local chapters is optional and must be accompanied by membership in the AVS National organization. Please check all that apply. All dues sent with this application payable to the AVS.

Arizona Viola Society 0$10 Regular 0$ 5 Student Iowa Viola Society 0$10 Regular 0$ 5 Student Minnesota Viola Society

Northern CA Viola Society 0$10 Regular 0$ 5 Student Ohio Viola Society

Rocky Mt. Viola Society 0$10 Regular 0$ 5 Student Utah Viola Society 0 $1 0 Regular 0$ 7 Senior 0$ 5 Student Viola Club of DC/MD & VA

0$10 Regular 0$ 5 Student Oregon Viola Society

0$ 8 Regular 0$ 4 Student NC Viola Society 0$20 Regular 0 $1 0 Student

0$10 Regular 0$ 5 Student Palmetto Viola Society (GA/NC/SC)

0$10 Regular 0$ 5 Student Seattle Viola Society

0$10 Regular 0$ 5 Student

0$15 Regular 0$ 5 Student

Payment Enclosed

$ $ $ $ $

AVS National Dues

Chapter Dues

I wish to make a donation to the Primrose Memorial Scholarship Fund*

I wish to make a donation to the AVS Endowment Fund*

TOTAL (*Donations to the AVS are tax-deductible as allowed by law.) 0 Check or money order in U.S. funds payable to the American Viola Society enclosed 0 MasterCard OVisa 0American Express: Credit Card#____________________ Expires_____ Name on Card

Send application and payment to: American Viola Society 13140 Coit Rd, Suite 320 LB 120 Dallas, Texas 75240-5737 USA

(972)233-9107 ext. 204 Fax (972)490-4219 Join online at www.americanviolasociety.org!