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Membership Application
Northern Nevada Bluegrass Association
(Please Print this Form and Mail to NNBA, PO Box 3177, Reno, NV 89505)
www.nnba.org

Membership fees: Single: $15.00 Couple: $25.00

Name (Print) ____________________________________________________

Second Member__________________________________________________

Address ________________________________________________________

_______________________________________________________________

Phone ____________________ Email ________________________

_____New Membership _____Renewal

Would you like to:
1. Be listed to jam with other members? (Yes) (No) Instruments you play:

2. Volunteer to help at annual festival? (Yes) (No)
3. Do you have other information that could be of use to the NNBA, i.e. other talents,
media contacts etc? (Yes) (No)

NEW MEMBER RECEIPT
Individual membership is $15.00 per year. Couple membership is $25.00 per year.
Renewal will occur in the anniversary month of your membership.

$_______________ Cash_____ Check #_________.

Membership Chairman: Ron Moyes (775) 354-6543. Email: ronandarlen@yahoo.com

Applicants Name___________________________ Amount___________________

Family Member(s) Name:________________________________________________

Signature of Officer_________________________ Date______________________

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