| Application for NEW FIGA Membership
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| Date of Application______________
TYPE OF MEMBERSHIP REQUESTED (check one)
REGULAR - USA.($30.00) _____ CANADA ($36.50) _____ OVERSEAS ($47.00) _____
ASSOCIATE (spouse of regular member) - USA ($20.00) _____ CANADA ($24.00) _____ OVERSEAS ($31.00) _____
STUDENT (under age 21) - USA ($20.00) _____ CANADA ($24.00) _____OVERSEAS ($31.00) _____
LIFETIME MEMBERSHIP - Any category or location - $500.00_____
Name__________________________________________________
Street Address___________________________________
City____________________ State_____ ZIP__________
Province_______________ Country_________________ Postal Code______________
Telephone________________________ E Mail_______________________________
Who or what got you interested in joining FIGA?________________________________
What is your primary instrument?____________________________________________
What other instrument(s) do you play?________________________________________
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PRIVACY STATEMENT If you do NOT wish to have your name published as a "New Member" in "ALL FRETS" (the FIGA Magazine), please check here _____ In an effort to fulfill our mission, based on your authorization, FIGA would like to make your contact information available to other member as well as related organizations, events and industries. Please select ONE of the the following options which best describes your desires. IF NEITHER OPTION IS SELECTED, YOUR CONTACT INFORMATION WILL REMAIN CONFIDENTIAL AND USED FOR FIGA MAILING PURPOSES ONLY. I authorize FIGA to release my contact information to other FIGA members ONLY _____ I authorize FIGA to release my contact information to other FIGA members as well as related organizations, events and industries _____
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Dues from outside the US must be paid in US $ drawn on a US bank
Mail completed application with appropriate dues payment to:
FIGA, 2501 Saddleback Drive, Edmond, OK 73034
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