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Celebrating our 27th Year!
PO BOX 163 • LEXINGTON, KY 40588-0163
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JAF Membership Applications

The Jazz Arts Foundation, Inc. is a 501(c)3 non-profit organization for income tax purposes. Since the goods and services given for JAF membership meet the standards for insubstantial value set out by the IRS in Rev. Proc. 90-12, 1990-1 C.B. 471, and Rev. Proc. 92049, 1992-1 C.B. 987, membership and any donations are fully tax deductible. Be sure to check with your tax advisor if you have any questions.

If you would like to become a member of the Jazz Arts Foundation, print this application (it cannot be completed on line) and mail it, along with your check or money order for the appropriate amount, to

The Jazz Arts Foundation, Inc., Attn: Secretary, PO Box 163,Lexington, KY 40588-0163

Please print:

Name: ______________________________

Address: ______________________________

City: ______________________________

State: ______________________________

Zip: ______________________________

City: ______________________________

H Phone: ______________________________

C Phone: ______________________________

Email: ______________________________

I heard about JAF from/at: ______________________________

__ Renewal (in January of current year)

__ New Member (in January of current year)

__ Individual Membership (IND) – $40 per year

__ Couple Membership (CPL) – $55 per year

__ “Friend” of the Foundation (FR) – $65 per year

__ “Patron” of the Foundation (PAT) – $115 per year

__ “Donor” to the Foundation (DNR) – $200 per year

__ Student (full time) – $20 per year

__ Senior (55 years or older) – $25 per year

 

PRORATED MEMBERSHIP FEES FOR NEW MEMBERS

Membership runs from 1/1 to 12/31 of each year. Please enclose your check for the amount shown in the table below according to the membership category you wish to join as:

__ New Member (circle amount)   __ Reinstatement (circle amount)

JOIN MONTH IND SR ST CPL FR PAT DNR
JAN – MAR* $40 $25 $20 $55 $65 $115 $200
APR – JUN* $30 $19 $15 $41 $49 $ 86 $150
JUL – SEP* $20 $13 $10 $27 $33 $ 57 $100
OCT – DEC $50 $31 $25 $69 $81 $144 $250

* Fee pays for balance of current year.

NOTE: OCT – DEC fee covers from the balance of the current year through 12/31 of the following year.

  Click the icon to download & print the official tri-fold two page Membership Application in PDF format.

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