Minmnesota Blues Society - Application Form

Membership Type	Cost
Individual	$18/year
Individual (3-Year)	$50/year
2-Member Household/Family	$30/year
2-Member Household/Family (3-Year)	$85/year
Lifetime	$200
Gold Sponsor*	$150/year
Silver Sponsor*	$100/year
Bronze Sponsor*	$50/year
National Sponsor*	$350/year
Membership Year January 1st — December 31st
* Sponsor Benefits

Join Now Online

New & Renewal Memberships Now Good Through 12/31/2012

If you wish to join or renew your membership with a credit card or PayPal account just complete the following form then continue to the payment selection page. If you want to mail your membership application with a check, please use this alternative printable form.

The Minnesota Blues Society is a 501(c)(3) tax-deductible non-profit organization. All membership donations are fully tax-deductible. YOU CAN DOUBLE THE VALUE OF YOUR MEMBERSHIP DONATION THROUGH MATCHING EMPLOYER CONTRIBUTIONS: Find out how!

* These items are required to process your membership request.

Please select: *
Membership type: *
Member Name(s): *
Member Email Address: *
Member Street Address: *
City: *		State: *	Zip: *
Please select your payment method: *
Business (if applicable):
Telephone:	Web site (URL):
Please select:

Check box if this is a gift:

Gift from (Your Name):

To submit this form, type the characters you see above into the box below and hit "Enter" or "Submit".

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Join Now Online

New & Renewal Memberships Now Good Through 12/31/2012

PLEASE BE PATIENT! SOMETIMES IT TAKES A LITTLE TIME FOR THE SERVER TO PROCESS THIS FORM.

PLEASE BE PATIENT!
SOMETIMES IT TAKES A LITTLE TIME FOR THE SERVER TO PROCESS THIS FORM.