AMSOV 2022-2023 Orchestra Membership/Dues Form

AMSOV 2022 - 2023

Organization 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 Organization*

Organization President and E-Mail*

Organization President-Elect and E-Mail*

Organization Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Organization Phone Number

Area CodePhone Number

Organization Fax Number

Area CodePhone Number

Organization Web Home Page

Orchestra Name

Name of Orchestra Music Director

Name and title of CEO/Executive Director

Concert Hall

Name and Title of Staff Liaison to Your Volunteer Organization

Include e-mail and/or phone number

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

E-mail*

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

Amount Due: $150.00. Method of payment for 2022-2023.*

Credit CardCheck

How to Pay Using PayPal

Click on 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 butoon on the PayPal page to pay without needing an account. Upon competion of your transaction use the Return to Merchant button at the bottom of the page. This will return you to the Membership webpage and forward this form to AMSOV. You will receive a confirmation e-mail at the addreess 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 entered above with a summary of your input.

Please mail your check payable to AMSOV for $150.00 to our treasurer:

Jeff Huth, Treasurer

13704 67th Ave. W.

Edmonds, WA 98026