D.C. Chapter of the American Harp Society

2007 – 2008 Membership Application

Name:           ___________________________________________

Name of Parent if Name Above is a Child: ___________________________________

Address:   ___________________________________________

                        ___________________________________________

Home Phone:    _____________________ Cell Phone: ____________________

Office Phone: ____________________ Fax Number: ____________________

Email:           ___________________________________________

D.C. Chapter Membership Dues: $15.00.  Please Make Check Payable to: AHS/DC.

You Must Be a Member of the National AHS in order to join an AHS Chapter.

The dues year begins on September 1 and ends the following August 31.

Please print and return this form and your dues by September 15 to:

Brian Stevenson
7754 Sharpshooter Court
Manassas, Virginia 20111-8233

Please Check All that Apply:

Professional

Teacher

Student (21 Years or Younger); My Teacher Is: ___________________________

Adult Student; My Teacher Is: ___________________________

Friend

AHS Member

May We Send Your Newsletter by Email?       Yes                        No

I would Like to Volunteer to Help with:

Professional-Related Activities

Student-Related Activities

Chapter Social Events