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Join ALS

Please fill out this form; then print it and mail the form with your check (in US funds made payable to American Liszt Society) to:

American Liszt Society
Attn: Alexander Djordjevic
PO Box 1020
Wheaton, IL 60187-1020


Membership is by calendar year.

Please indicate year of this enrollment:

Type of membership (amounts are effective presently for all new members and for current members who are renewing their membership and will be billed such amount in the appropriate category for calendar year 2017):

Effective January 1, 2014, there is no longer a charge for chapter dues on your annual dues statement. You should contact a chapter in your area and let the chapter president know you want to be a part of that chapter. You will be billed by that chapter. To assist you with this endeavor, please refer to the list of chapters, their presidents, and appropriate e-mail addresses, as shown on the Chapter page.

I wish to help the ALS with a contribution of: $


Name:
Profession:
Home Address  
Street 1
Street 2
City
State   
Zip
Home Phone
Home Fax
Home Email
Work Address  
Organization
Street 1
Street 2
City
State
Zip
Work Phone
Work Fax
Work Email

I prefer to receive ALS mail at:

Home
Work


If convenient, please include a short professional résumé.

If you wish to participate in activities of the Society, please indicate your order of preference:
Performance
Paper Presentation
Publish in JALS
Work to develop local Chapter activities
Host Concerts in the Home