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Join the BSWPA.
Fill out this form please.

Optional mail in form.

First Name:
Last Name:
Email:
Street:
City:
State:
Zip:
Phone:
Cell:
Web Page:
Are you interested in helping out at Blues Society events or with Blues Society Commitees? Undecided
Yes
No
Do you play blues? I just play the Stereo.
Yes
No
Instrument:
Are you in a band?: Yes
No
Band Name:
Band Website:
May we ask your date of birth?
Your Profession?:
How would you like to receive the news letter?: Email
Mail
Do you have any skills you feel would benefit the BSWPA?

If you would like to mail your form, download and fill out this document and
send it with your $20.00 check or money order to:

BSWPA Membership
4885-A McKnight Road #291,
Pittsburgh PA 15237



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www.bswpa.org
webmaster@bswpa.org