Official WBJS Membership Form

Affiliate of The Blues Foundation

Please Send the form to:

WBJS

P.O. Box 1643

Evansville, WY 82636-1643

Name_________________________________________

Address_______________________________________

City_____________State_____________Zip__________

Phone_________________________________________

Email__________________________________________

Would you be willing to receive your newsletter by email? YES NO

Include musicians you enjoy and would like to see perform in Wyoming.

_________________________________________________________

Please don't forget to include your $20.00 (Individual) or $30.00 (Couple) Membership Fee when you return the form!

Thanks for your support for Wyoming Blues & Jazz!