TUESDAY MUSICAL CLUB
STEPHEN FOSTER MEMORIAL
UNIVERSITY OF PITTSBURGH
PITTSBURGH, PENNSYLVANIA 15260

FOR MEMBERSHIP INFORMATION

APPLICATION FOR MEMBERSHIP

DATE:

NAME (Please Print)_______________________________________________________________________                                           LAST                                                 FIRST                                                   MIDDLE

ADDRESS ___________________________________________CITY__________________________________

STATE _______________ZIP CODE(Nine digit)______________ PHONE____________________  E-MAIL ADDRESS_______________________

REGULAR MEMBER (  )       STUDENT MEMBER (  )  

INTERESTS
(Please check all your interests)

Accompanist        (  ) Non-Performing (  ) String Ensemble (  )
Chamber Music   (  ) Opera (  ) Sunday Programs (  )
Choral               (  ) Organ (  ) Vocal (  )
Composers         (  ) Piano (  )

MUSICAL BACKGROUND (Optional)

Instrument (s) or Voice

Musical Education

Degree Earned

Private Teacher

Musical Experience:





Your Signature_________________________________________________

Member or members, if any, who are known to you:

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