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| Membership Application |
| Western Swing Music Society of the Southwest |
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| Name: (Mr/Mrs)____________________________________ |
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| Address:___________________________City____________Zip______ |
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| Telephone# Day _______________evening#_________________ |
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| Supporting Member_____________Performing member__________ |
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| Instruments (S) ________________________________________ |
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| Vocalist:___________Band Leader_________Name of Band______ |
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| Other Interests:__________________________________________ |
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| Date of Birth____________________E-mail:__________________ |
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| Fee Paid:_____________(Singles $15 Couples $20) |
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| Board Approval: ____________________________ |
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| Date: _____________________________________ |
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| Secretary:__________________________________ |
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| Send Application to WSMSS, P.O. Box 22185 Oklahoma City. OK, 73123 |
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