JAVS Spring 2007

Membership Dues

D Referred by

(pri nt name of AVS member.)

D $48 Regular Member hip D $21 Student Member hip

D $53 International Member hip D (Re idi ng out ide the U.S.) D $30 International Student Member hip D (Re iding outside the U.S.) D $48 Institutional Membership

D $58 Joint AVS/Canadjan Member hip D (includes both JA VS and CVS newslerter)

D $27 Emeritu Member hip*

*(those age 65-p/us who have been a regular memberfor a minimum of8 years) D Group Member hip Rate (jive or more applications submitted together, no online registration) D __ $42 Regular Member. hip __ $ 18 Student Member hip D Additional Gift Member hip: Halfprice regular membership ($24 ), must be accompanied by your regular membership renewal. We will acknowledge your gift to the person you List below: Fir t Name La t Name___________________ Company ------------------------------------------ Addre Ci~ffl~~aiporPo~C~e-------------------------------~ Country__________________ Home Phone ___________________ Work Phone Fax --------------------- Emrul ___________________ Web ite ____________________ AVS Local Chapter Dues: Membership in AVS local chapters is optional and must be accompanied by membership in the A VS National organization. Please check all that apply. All dues sent with this application payable to the AVS.

Arizona Viola ociety o $1 0 Regular o $ 5 Student Central TX Viola ociety o $10 Regular o $ 5 Student Florida Viola ociety

Iowa Viola ociety o $10 Regular o $ 5 Student Minnesota Viola Society

Oregon Viola Society o $10 Regular o $ 5 Student Rocky Mt. Viola ociety

outhern CA Viola Society o $10 Regular o $ 5 Student Utah Viola Society o $10 Regular o $ 7 Senior o $ 5 Student Viola Club of DC/MD & VA

o $ 8 Regular o $ 4 Student NC Viola ociety o $20 Regular o $10 Student Ohio Viola ociety

o $15 Regular o $10 Student cattle Viola ociety

o $15 Regular o $ 5 Student Idaho Viola Society

o $15 Regular o $ 5 Student outh Carolina Viola ociety

o $10 Regular o $ 5 Student Virginia Viola ociety

o $10 Regular o 5 Student

o $10 Regular o 5 Student

o $10 Regular o $ 5 Student Ok.Jahoma Viola ociety

o $10 Regular o $ 5 Student

o $10 Regular o 5 Student

Payment Enclosed

$___ AVS National Due $_ __ Chapter Due $

I wi h to make a donation to the Primro e Memorial Scholar hip Fund*

I wi h to make a donation to the AVS Endowment Fund*

$ $

TOTAL (*Donations to the AVS are tax-deductible as allowed by law.) D Check or money order in U.S. fund payable to the American Viola Society enclo ed D Ma terCard D Vi a D American Expre : Credit Card#____________________ Expire~----- Name on Card ______________ ______

Send application and payment to: American Viola Society 14070 Proton Rd. Suite 100, LB 9 Dalla , Texa 75244 USA

(972)233-91 07 ext. 204

Fax (972)490-42 19

Join online at www.americanviolasociety.org!