AMSOV 2015 - 2017 Principal Organization Membership/Dues Form

AMSOV 2019 - 2021 Biennium

Principal Organization Membership/Dues Form

And Membership Directory Information

Note: a few starred (*) input fields are mandatory but for the other fields only information that has changed since our last directory was published is necessary.

Name of Symphony Orchestra *

Concert Hall

Orchestra Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Orchestra Phone Number

Area Code Phone Number

Orchestra Fax Number

Area Code Phone Number

Orchestra Web Home Page

Name of Music Director

Name and title of CEO/Executive Director

Name and Title of Staff Liaison to Your Organization

Include e-mail and/or phone number

Volunteer President/Chair

Will Receive AMSOV Member Organization Directory

Name(s) of Volunteer Organization *

Name of Current President/Chair

First Name Last Name

Address of Current President/Chair

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number

Area Code Phone Number

Cell Phone Number

Area Code Phone Number

President/Chair's E-mail

Confirmation Email

Term Begins on:

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Term Ends on:

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Volunteer President/Chair Elect

If not applicable skip to Payment Section

Name

First Name Last Name

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number

Area Code Phone Number

Cell Phone Number

Area Code Phone Number

President/Chair Elect's E-mail

Confirmation Email

Term Begins on:

Month Day Year Date Picker Icon

Term Ends on:

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Use this section for additional information you would like to provide us.

E-mail *

Confirmation Email Confirmation of receipt of this form submission will be sent to this address.

AMSOV Principal Organization dues for 2019-2021 Biennium $200.00 *

Credit Card Check

How to Pay using PayPal

Click the Submit Completed Form button below to take you to the PayPal page. To pay using PayPal, log into your account and make your payment. Alternatively you can click on the Pay with Debit or Credit Card button to pay without needing an account. Upon completion of your transaction, use the Return to Merchant button at the bottom of the PayPal page. This will return you to the Membership web page and forward this completed form to AMSOV. You will receive a confirmation e-mail at the address you entered above with a summary of your input.

How to Pay by Check

Click the Submit Completed Form button below to submit your information to AMSOV. You will receive a confirmation e-mail at the address you entred above with a summary of your input.

Please mail your check payable to AMSOV for $200.00 to our treasurer:

Irena Witt, 3876 Center St., Houston, TX 77007

*

AMSOV Principal Organization Dues for 2019 - 2021 Biennium $ 200.00

Total $ 0.00