Keith Hunt, President
131 Bennett Road
Camillus, NY  13031
315-487-8806
Keith.hunt@earthlink.net

David Loveland, Vice President
287 North Hillsboro Road
Camden, NY  13316
315-245-3480


Judy Hunt, Secretary
131 Bennett Road
Camillus, NY  13031
315-487-8806
judith.hunt@earthlink.net

Susan K. Barrington, Treasurer
3733 Lloyd Road
Cato, NY  13033
315-678-2025
susanbarrington2000@yahoo.com

MEMBERSHIP APPLICATION

Single Membership Application - $15.00 Annual Fee (Canadian $20.00 US Funds); One Vote.
Family Membership $30.00 (Canadian $35.00 US Funds); Two Votes.
Membership Year: March 1 to the end of the following February.
Bylaws: Article 1, Section 2 - The purpose of the organization shall be to preserve perpetuate and promote the tradition of Old Tyme Fiddling.

To apply on line for membership, please complete this application and select SUBMIT.   Mail your check to the BRVFA Treasurer (see address at bottom of this page)  payable to the Black River Vallely Fiddlers’ Association.  Application will not be processed until check is received.

NAME:_______________________________STREET ADDRESS______________________________________

CITY/TOWN___________________STATE:_______________ZIP:___________________COUNTY:_________

PHONE:________________DATE OF BIRTH:_________________OCCUPATION:_______________________

I AM RETIRED FROM:________________________________________________________________________

EMAIL ADDRESS:____________________________________________________________________________

PLEASE SEND MY NYSOTFA NEWSLETTER BY EMAIL INSTEAD OF BY US MAIL
                                          

I CAN RECEIVE AND READ THE NEWSLETTER IN THE FOLLOWING FORATS:

                                                                                           

WHAT INSTRUMENT DO YOU PLAY?___________________HOW LONG HAVE YOU PLAYED?____________

WHO GOT YOU STARTED OR HOW DID YOU GET STARTED?___________________________________________

REASON FOR JOINING (optional):____________________________________________________________________

CHAPTER YOU WISH TO BELONG TO (optional):________________________________________________________

By clicking on the "SUBMIT" button I agree to abide by any and all bylaws of the New York State Old Tyme Fiddlers’ Association, Inc. and the decisions of its Board of Directors under due process.

DATE:________________________________SIGNATURE:___________________________________________________

Date Application Received:______________________Card __Mailed_________________________________________






BLACK RIVER VALLEY FIDDLERS' ASSOCIATION
% Michael F. Camidge, Treasurer
30055 State Route #3
Black River, New York  13612
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