MEMBERSHIP / DONATION FORM

Membership / Support

NAME________________________________________

ADDRESS_____________________________________

CITY _________________________________________

STATE _______ ZIP_____________________________

PHONE: (_______) – ____________________________

E-MAIL:(Required)_______________________________

Regular TOSDV annual dues are only $20 US Currency
(either as a single, or family membership), which entitles you to:
Receive our LIFT newsletter
Attend any of our members only meetings at private homes
Vote at our meetings.
and supports our mission and goals.

If you wish to be a TOSDV VOTING MEMBER, you must also join our parent organization, the American Theatre Organ Society.
Added benefits include the bi-monthly Theatre Organ Magazine. To join ATOS visit www.atos.org .

Are you, or are you going to become a member of ATOS?
Yes ____  No____

Do you currently play piano? ______
Electronic keyboards?______
Organ? ______
Other Musical Instrument? (Specify) __________

Would you consider becoming an Organ Crew  Member to help maintain our instruments?  Yes____      No____    Not Sure____.

Are you a member of another local Organ Group or ATOS Chapter?

Yes___ No___
If yes, please indicate_____________________

Annual Dues                                       $20
Donation                                          $________
TOTAL – Check Enclosed      $________

Make Check or Money Order payable to: TOSDV

Mail To:
TOSDV MEMBERSHIP
PO Box 2296
Sinking Spring, PA 19608