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Membership or Subscription
Form
Friends of Negro Spirituals, P.O.Box 71956, Oakland, CA 94612,
fns3@juno.com or
Membership in
Friends of Negro Spirituals organization (includes news journal) Please fill our membership form OR subscription to THE NEGRO SPIRITUAL *Beginning January 2003, The Negro Spiritual will be published in January and June of each year. Check one
______ 1-year subscription - $16.00 (2 News journals) ______ 2-year subscription - $32.00 (4 News journals) OR ______ 1-year membership in Friends of Negro Spirituals organization- $15 (Youth) $20 Senior (65 and older), $20 (Unemployed or Temporary hardship, $35 (Individual) or $60 Family Family is defined as two or more persons related by blood or marriage, which occupy the same household. Family membership is limited to 5 related persons as described above per household (Please fill out membership form) I have enclosed a $_________check or a $________money order payable to Friends of Negro Spirituals for one or more years subscription to The Negro Spiritual news journal OR membership in Friends of Negro Spirituals organization Fill out form below: Name ____________________________________ Address __________________________________ City __________________________State___________ Zip Code________ Telephone ( ) _______________ Business ( ) __________________ E-mail _________________________ Membership
Friends of Negro Spirituals $35.00 Individual $60.00 Family is defined as two or more persons related by blood or marriage, which occupy the same household. Family membership is limited to 5 related persons as described above per household. One news journal per household $20.00 Senior (65 and older) $20 Unemployed or Temporary hardship $15.00 Youth Dues can be paid by installments within 120 days from initial payment Check one ___$35.00 Individual ___$60.00 Family*___$20.00 Senior ___$15.00 Youth ___$20.00 Temporary hardship Date _________________________ Name ______________________________________________ Address ____________________________________________ City __________________State __________Zip Code _______ Telephone (H)_( )___________ (B)_( )_______________ E-mail________________________________ *If family is checked, please give names of family members included:
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