Print this page, fill it out and send this form with your check

Musica Toscana Membership Form

Name: _______________________________________________________

Street Address: ________________________________________________

City: _________________________ State:_________ Zip Code:________

Telephone: _____________________ Email : ________________________

Fax: _________________________

New Member? ___________ Renewing? ____________________

Check the appropriate category:       Regular Member:  $52.00  _____________

                                                        Student Member: $24.00  _____________

                                                        Family Member:   $57.00  _____________

Musica Toscana, Inc., is a tax-exempt, non-profit, educational organization. All donations and membership fees are fully tax-deductible.

Make checks payable to Musica Toscana, Inc., and mail to:

Musica Toscana, Inc. 

Attn: Fred Olympia
5501 Hemstead Rd

Louisville, Ky, 40207

Thank you for your support.