Please enroll me as a member in the Contra Costa Performing Arts Society. My membership will
cover the remainder of the current year (which begins June 1) and extends to May 31, next year.
Dues are half price after February 1st for the first year only. Members receive a monthly PAS
Newsletter and a yearly Member Yearbook, which contains a directory of all members and
complete guide to all our activities.

My check is enclosed, with the category indicated below [make check payable to: PAS].
[   ]  Regular Membership  $30
[   ]  Family Membership  $35
[   ]  Choral Ensemble  $35
Note: all dues are half price after February 1st for the first year only.

I am also enclosing a tax-deductible contribution of $____________
This donation may be designated for: Youth Programs [   ]; Piano Fund [   ]; General Fund [   ]

Name:_____________________________________________________ Date:________________

Name of Organization/Firm (if applicable):_____________________________________________

Address:_________________________________________________________ Apt. # _________

City:__________________________________________ State:________ Zip:________________

Home phone#:__________________ Other phone#:__________________ Type (cell/fax) _______

Email address:___________________________________
Check here if you want to receive the montly newsletter by email _____. This option saves PAS
printing and mailing costs. Your email address is used only for sending the monthly newsletter and
critical event updates - your privacy is important to us.

Primary Instrument(s) _____________________________________ Voice Range ____________

Check all that apply:
[   ]  Accompanist                  [   ]  Composer                  [   ]  Music Teacher       
[   ]  Chamber Ensemble        [   ]  Choral Ensemble        [   ]  Listener