Las Vegas Jazz Society Online Membership Application
Membership Type:	New Member Re-new
Personal contact information:
Last name:
First name:
Address:
City:
State:
Postal code/zip:
Phone:
Email:
Select a Membership Level:
Membership Level:	$10 T. Monk (Student) $25 Ella (Individual) $35 Miles (Family) $50 Artist more info $100 Sachmo $250 Duke $500 Coltrane $1500 Dizzy (Corporate)
Other Information:
Comments (Optional):
Volunteer	Yes, I want to volunteer my time to the Las Vegas Jazz Society.
Favorite Jazz Type	No Preference Contemporary Dixieland Latin Jazz Straight Ahead Vocal