New York City Chapter of the AGO
Membership Form for 2008-09 (July '08 through June '09)
Fill out and print this form, then mail it with your check to the address below.
select:
  Type of Membership
Dues
  Regular Voting Member (receives The American Organist and Chapter newsletter)
$88
  Special Voting Member (same as Regular, but under 21, over 65, or disabled)
$64
  Partner Voting Member (second member at same address; does not receive The American Organist)
$64
  Dual Voting Member (paid to NYC as second Chapter; receives Chapter newsletter)
  Indicate your Primary Chapter here:
$35
  Full Time Student (you must include photocopy of current student ID; receives The American Organist and Chapter newsletter)
$36
  Full Time Student-Dual (you must include photocopy of current student ID; receives Chapter newsletter)
  Indicate your Primary Chapter here:
$14
  Chapter Friend Non-voting Contributor (receives newsletter; no discount to Chapter events)   For non-organists/non-conductors only
$20
TOTAL DUES
    NYC Chapter (tax-deductible contribution)
    POE (Pipe Organ Encounter) (tax-deductible contribution)
    Region II Convention (tax-deductible contribution)
    Pipedreams (tax-deductible contribution)

Make checks payable in U.S. currency to NYC Chapter AGO

TOTAL ENCLOSED
Last Name
First Name
Middle Initial
Highest degrees
Email
Address Line 1
Address Line 2
City
State or Province
Zip/Postal
  Telephones   Please include the appropriate codes with each listing. Example: H=212-222-2222
  H=home F=fax M=mobile/cell T=temple
  D=daytime P=pager C=church O=other phone

Listing #1

Listing #2

Listing #3

  Your Jobs/Positions   Please include the appropriate codes. Example: O/D-St. Brigette RC, NYC
   A=assistant/associate C=choir director D=director DM=director of music
   F=faculty/instructor H=handbell dir. M=min. of music O=organist
   List Current Jobs. Example: O/D-St. Brigette RC, NYC

 Your Signature:

By signing this form, member agrees to abide by the AGO Code of Ethics.

 

Mail check and form to

  New York City Chapter AGO
Eric Birk, Registrar
P.O. Box 1896
New York, NY 10025