Name__________________________________________________
Address _________________________________________________
City _____________________________
State ______ ZIP _________
Phone______________________
Work ________________________
Email address ______________________________________________
Annual Fee $20.00 (individual
membership) or $30.00 (for family membership)
(Includes one KVBA T-shirt)
Send check or money order to:
Kalamazoo Valley Blues Association
PO Box 2413
Kalamazoo, MI 49003-2413
Phone: 269-381-6514
FAX: 269-381-3818
Are you interested in
helping out with KVBA activities? Yes No
Updated: 11/5/2003, rny
(member.form.html)