California Bluegrass Association Membership Application

 
Membership includes 12 issues of the CBA's award winning monthly newspaper the Bluegrass Breakdown and discount prices for the annual Father's Day Festival and all other CBA sponsored events.
Annual Membership Dues:
Single Membership.........................$25.00
With Spouse Added........................$30.00
Children 13-18 (non-voting)...............$1.00 each
Children 13-18 (voting).....................$10.00 each
Children under 12.........................FREE
Please click here if this is an Out-of-California Band Application

For more information, call our Membership Vice President, Carolyn Faubel, at 530-741-1259 or e-mail her at cbamembership@syix.com. If you would like to pay with your credit card please complete the information below and click submit. You may also print this page and mail with your check or money order to the address below.

                             CBA Membership, P.O. Box 5037, Marysville, CA 95901.

 
Complete Below and Click Continue (Required Fields are Marked by an "*")
Name: First: *  Last: *
Spouse Name: First:    Last:
If children, please enter # of children:
If children, please list name(s) and birthdate(s):
If senior(s)(65+), please enter # of people:
If senior(s)(65+), please list name(s) and birthdate(s):
Phone: * (NOTE: Please include area code.)
E-mail:
Address: *
City: *
State: * 
Zip: *
County: *
Membership Type: *
Please enter number of children if applicable: *
Please select number of years you would like to sign up for:
Application Type:

    * If Renewal enter a member #

Volunteer Interests:
Heritage Fund: $ (voluntary contribution)
Kids on Bluegrass: $ (voluntary contribution)
Darrell Johnston Kids Instrument Lending Library: $ (voluntary contribution)
Music Camp Scholarship: $ (voluntary contribution)

                                               


Copyright © 2002 California Bluegrass Association. All rights reserved.
Comments? Questions? Please email rcornish@sjcoe.net.