Join The Kentuckiana Blues Society Today!

Online Membership Form

Please fill out this form and make payment through PayPal below. Please type on the form which level of membership you have purchased.

Name(s)*

Email*

Phone

Membership Level (Please type Single, Double, Band or Business)*

Paypal ID/Email Address used to make payment for membership.

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Single

$20.00

1 membership card and 1 newsletter mailed

Double

$25.00

2 people at same address - 2 membership cards and 1 newsletter mailed

Band

$30.00

1 newsletter mailed - up to 5 members

Business

$150.00

1 newsletter mailed - up to 5 membership cards - sponsorship listing

Printable Membership Form for mailing

Print and fill out this form, and send it with Check or Money Order to

Kentuckiana Blues Society, Inc.
Attn: Membership Director

PO Box 755

Louisville, KY 40201-0755

Download PDF

Email: info@kbsblues.org

Kentuckiana Blues Society

PO Box 755

Louisville, KY 40201-0755

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