NYCC Membership 2009-10
| Regular ($10.00) ____ | Student ($5.00) ____ |
| Senior ($5.00) _____ | Special Life Membership ($100.00 signup by March 31st) ________ |
| Additional Contribution ______________ |
| Check:
New Member ______ |
Renewal_______ |
| Name: | ____________________________________________________ | ||
| Address: | ____________________________________________________ | ||
| ____________________________________________________ | |||
| Affiliation: | ____________________________________________________ | ||
| Telephone: | ____________________________________________________ | ||
| E-Mail: | ____________________________________________________ | ||
| List my e-mail address in the Club's web directory: ____Yes ____No | |||
Send this form and your check made out to the New York Classical Club to:
Cristiana Sogno
Fordham University
113 W 60th St.
Lowenstein Bldg. 915E
New York, NY 10023
Thanks!