ASSOCIATION  OF  CONCERT BANDS
                    INDIVIDUAL/FAMILY MEMBERSHIP APPLICATION

______________ New Member                        _____________ Renewing Member


Name #1:  ____________________________________________________________________

          Occupation: ________________________________________________________

Name #2 (for Family Membership):______________________________________________

	  Occupation:_______________________________________________________

Address: _____________________________________________________________________

City: __________________________ State:_____ZIP Code (with +4):_______________

Telephone: (_____________)____________________________________________________ 

E-Mail: ______________________________________________________________________

How did you hear about ACB? __________________________________________________

PLEASE CHECK MEMBERSHIP CATEGORY:
 __________ Individual  . . . . . . . . . . . . . . . . . . . .$   30.00/year*
 __________ Family  . . . . . . . . . . . . . . . . . . . . . .$   45.00/year*
 __________ Life member . . . . . . . . . . . . . . $1,000.00, single payment*
 __________ Life member . . . . . . .four (4) annual payments of $250.00 each*

PLEASE NOTE:
~ *International memberships please add $15.00/year.

~ ACB memberships run January 1 through December 31. 

~ 1/2-year memberships are available after July 1 for the price of:
         Individual...$15.00; Family...$22.50. 
  This prorated fee will cover from July 1 through December 31.

~ Fully-paid memberships of those joining after October 1 will begin January 1 
  of the following year.

Please mail completed application and check or money order payable to the
Association of Concert Bands to:

ASSOCIATION OF CONCERT BANDS
Nada Vencl, Secretary
6613 Cheryl Ann Drive
Independence, OH  44131-3718

(Rev. Membership Brochures Ind-Fly 10-23-05.txt)