Membership Application Form (US)

Robert L. Folstein, US Coordinator
THE JACQUES OFFENBACH SOCIETY
4885 West Maple Leaf Circle
Greenfield, WI 53220-2784
Telephone: 414-546-3268
E-Mail: rlfolstein@aol.com

 

I wish to enrol / renew membership of the Jacques Offenbach Society and enclose my membership fee of 40.00 U.S. for twelve months.

Payment should be made to "The Jacques Offenbach Society".

Don't forget the concession of 50% if you are a student or a retired person.

 

Name: _________________________________________________________________________________
 

Address: _______________________________________________________________________________
 

________________________________________________________________________________________
 

________________________________________________________________________________________
 
 

Signature: ______________________________________________ Date: _________________________

Please send e-mail to rlfolstein@aol.com if you have any questions about joining the Society

Robert L. Folstein
4885 West Maple Leaf Circle
Greenfield, WI 53220-2784