SCEMS Membership Application to Print and Mail
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Membership Application for the Southern California Early Music Society
Enclosed is my check for $30 payable to SCEMS, please enter me as a full member of the Society.

Name
Address
City State Zip
Home Phone Work Phone Fax
Email Web Site
Do you wish to be listed in the Membership Directory?

Please circle: Yes or No

May we release your name and address to other music organizations?

Please circle: Yes or No

Additional information for the Member Directory (optional):
If more than one name on membership, please specify which member for each item.
Instruments
Indicate instrument & level:
beg, int, adv, pro, pro/tch
[1] [4]
[2] [5]
[3] [6]
Voice
Indicate voice part & level: beg, int, adv, pro, pro/tch
[1]
[2]
Participation/membership in performing groups [1] [4]
[2] [5]
[3] [6]
Early Music Related Business/Service/Product
name, description, phone
[1] [2]
Other Music Related Affiliations faculty position, volunteer work, etc. Indicate organization, affiliation
[1] [2] [3]
Other Business Business/Service/Product
name, description, phone
[1] [2]

Mail this form with your $30 check payable to SCEMS to:
SCEMS, Post Office Box 41832, Los Angeles, CA 90041-0832

For general inquiries about SCEMS or EMN Magazine
call the SCEMS Message Center at 310.358.5967
or send email to info@earlymusicla.org.
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