Internet Membership Form Print this form, fill it out and mail with payment to: The Inland Empire Blues Society P.O. Box 9126 Spokane, WA. 99209-9126 One Year (12 issues): $15.00, International: $17 (U.S. Funds only) Make checks payable to: The Inland Empire Blues Society Name:________________________________________________________ Mailing Address:_______________________________________________ City:____________________State:________Zip + 4:__________________ Telephone:____________________________________________________ E-Mail:_______________________________________________________ The Inland Empire Blues Society will not give, sell, or otherwise relinquish its mailing list. Would you like to receive other local blues information or mail from the Inland Empire Blues Society? YES_____ NO_____ |
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