New Member Application (Mail in)
    Member Information

  1. Thank you for your interest in joining the Contra Costa Performing Arts Society. We welcome you!

    Among the benefits of membership in CCPAS: Members receive a monthly Newsletter as well as our yearly Directory, which contains a listing of all members, their various instrument(s) played and/or their vocal ranges, plus a complete guide to all our concerts, workshops, student activities and other events. To be included in the Directory, your form and dues for the coming year must be received by July 15. You may also choose to NOT be listed in the directory, if you wish to retain your privacy.

    The membership year begins on June 1 and ends on May 31. Dues are half price after February 1 (your first year only).

    New members: Please fill out and print this application form, and send it to: PAS Membership, P.O. Box 2337, Walnut Creek, CA 94595.

    Current members renewal: Please return the paper renewal form you received by regular mail; Do not submit this form. Please include your check with the paper renewal form.

    Note : Required fields are indicated by an asterisk (*).
  2. First Name:(*)
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  3. Last Name(*)
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  4. Name of Organization/Firm (if applicable)
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  5. Street Address(*)
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  6. Apt #
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  7. City(*)
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  8. State(*)
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  9. Zip(*)
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  10. Home phone
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  11. Cell phone
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  12. Email address
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  13. Do you want to be listed in the Directory?(*)
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  14. Receive newsletter by
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  15. Sending the newsletter by email 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.
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  17. Please select up to 4 musical interests :
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  19. Please select your primary instrument(s). (Up to three may be selected ).
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  23. Voice Range:
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    27. Second Family Member
  27. First Name:
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  28. Last Name:
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  29. Cell phone:
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  30. Email address:
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  32. Please select up to 4 musical interests :
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  34. Please select this family member's primary instrument(s). (Up to three may be selected ).
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  38. Voice Range
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    39. Third Family Member
  39. First Name:
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  40. Last Name:
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  41. Cell phone:
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  42. Email address:
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  44. Please select up to 4 musical interests :
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  46. Please select this family member's primary instrument(s). (Up to three may be selected ).
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  50. Voice Range
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    51. Fourth Family Member
  51. First Name:
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  52. Last Name:
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  53. Cell phone:
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  54. Email address:
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  56. Please select up to 4 musical interests :
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  58. Please select this family member's primary instrument(s). (Up to three may be selected ).
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  62. Voice Range
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  63. CCPAS Membership Type(*)
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  64. Optional tax-deductible donation
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  65. Total
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