JAVS Spring 2006

Membership Dues 0 Referred by _ ________ _____________ _____ (print name of AVS member.) 0 $42 Regular Membershi p 0 $47 International Membership 0 $2 1Student Membership (Resi ding outside the U. .) 0 0 $30 Internati onal Student Membershir1 $2 1 Emeritus Membershi p* *(!hose age 65-plus 11'110 ha l'e heen a regular memherfhr a minimum lJ/'8 years) 0 Group Membership Rates (five or more applica /ions suhmilled luge/her. no online regislraliun) __$36 Regular Member hip __$ 18 Student Membership 0 Addit ional Gift Membership: 1/al/'price regular memhership ($2 I). m1.tsl he accompanied hy your reg ular memhersfujJ renewal. We 11•ill acknowledge .t·nur g(/i 10 !he person you lis! below: Fi rst Name Last Name------------- ------- Company - ------------------------------------ ---- - Address_ __________________________________________ Ci~~tat dZiporP~ta i Co~--------------------------------~ Country_ __________________ Home Phone ------------------- Work Phone _________________ l·ax - - -------- ---- - ------- Ema il _ _ _________________ Website -------------- ------- AVS Local Cha pter Dues: Membership in A VS local chaplers is up1i01wl and must be accompanied by members/tip in tlte A VS National organ ization. Please check all llwl app~v. AII dues sen/ wilh !his applic(l/ion payahle /o !he A VS. $52 Joint AVS/Canadi an Membership (includes hulh JAVS and CVS ne ll'sle/ler) (Residing outside the U.. ) 0 $42 Institutiona l Membershi1 0

Arizona Viola Society 0 $ 10 Regular 0 $ 5 Student Cent ra l TX Viola Society 0 $ 10 Regul ar 0 $ 5 Student C hicago Viola Society

Minnesota Viola Society 0 $ g Regular 0 $ 4 Student C Viola Snciety 0 $20 Regular 0 $ 10 Student or t he rn CA Viola Society

O regon Viola Sociely 0 $ 10 Regula r 0 $ 5 Student Pa lmetto Vio la Sncie ly (GA C/SC) 0 $10 Regular 0 $ 5 . tudent Rocky Mt. Viola Socicly 0 $ 15 Regular 0 $ 10 Student Sc;lltle Vinla Socie ly

So uthe rn CA Viola Sociely 0 $ 10 Regul ar 0 $ 5 Student Uta h Viola Society 0 $ 10 Regul ar 0 $ 7 Senior 0 $ 5 Student Viola Club of BC/MD & VA

0 $20 Regular 0 $ 10 Student Idaho Viola Society 0 $ 10 Regular 0 $ 5 Student Iowa Viola Society

0 $ 10 Regular II $ 5 Student O h in Viola Society

0 $ 10 Regular 0 $ 5 Student Virg in ia Viola Society

0 $ 10 Regu lar 0 $ 5 Studen t Okla hnma Viola Society

0 $ 15 Regu lar 0 $ 5 Student

0 $ 10 Regular 0 . 5 Student

0 $ 10 Regular 0 $ 5 Student

0 $ 10 Regul ar 0 $ 5 Student

Payment Enclosed

AVS Nationa l Dues

$ $ $ $ $

Chapter Dues

I wish to make a donati on to the Primrose Memorial cholarship Fund*

I wish to make a donation to the A VS Endowment Fund*

TOTAL (*Dona/ions lo !he AVS are lllx-deduclible as allowed hy law.) 0 Check or money order in U. S. funds payable to the Ameri can Vio la Soc iety enclosed 0 Master ard 0 Visa 0 American Express: Credit Card It Expires___ _ _ Name on Card -------------------- Send applicaliun and paymenllo:

American Viola Society 14070 Proton Rd, Suite I00 Dal las. Texas 75244 U A

(972)233-9 107 ex t. 204

Fax (972)490-42 19

Join online at www.americanviolasociety.org!