Form: MEMBERSHIP WSWDC 2004

The Wagner Society of Washington DC
For the Study and Enjoyment of Wagner's Art

. . . to join WSWDC . . .

Why should you join us?

Free Admission to WSWDC monthly programs
Tickets and trips to Wagnerian operas, backstage tours, cast parties
Opportunity for Bayreuth tickets
A voice in the type of programs you would like to see
Opportunities to help organize programs and Society events
Lectures, panels, symposia, and workshops with Wagner experts
Video showings and discussion groups about Wagner's operas
Periodic newsletters and advance information about area Wagner events
Discounts on books and materials offered by the Wagner Society of New York
Gemütlichkeit!

For WSWDC membership please fill in the following: Note: Membership is on a calendar-year basis, January through Decomber.

Use (TAB) key to move between fields. Note: The fields with "*" are required for credit-card use.

Member Information

Last Name: First Name: Title:

Address 1: Address 2:

City: State: Zip Code:
Home Phone: Daytime Phone: Fax Number:

E-Mail Address:

Dual Member Information

Dual Member Last Name: Dual Member First Name:

Dual Member Phone:

Dual Member E-Mail Address:

Membership Information

New or Renewing Member?: Membership year:

Membership Type (annual dues amount)
Note: Memberships with asterisks(*)are entitled to premiums

Select Membership:

If PATRON, choose one book:

If DONOR, choose one book:
If SPONSOR, choose two books:
(Use (CTRL) key to highlight two choices.)

Other Information

Are you interested in tickets for the Bayreuth Festival in 2004?:

Would you like to Volunteer to help us with:

Where did you hear about us?: Other:

Do you have comments or suggestions?:

Additional Donation Amount: Additional donations can be dedicated to:
Contributions are deductible to the extent provided by law.

Payment . . .

1. Fill out the above information and the credit card payment form below and SUBMIT it (see button below), or
2. Print out the form with your information and send it with a for the full amount
(made out to Wagner Society of Washington DC) to:
Wagner Society of Washington DC
P.O. Box 33051
Washington, DC 20033

To use a credit card, please fill in the following:

* Name on Card:

* Select Credit Card Type: * Amount to be charged? ($)

* Credit Card Number: * Expiration date:

Application Form Used:

The Wagner Society of Washington DC
P.O. Box 33051
Washington DC 20033
Phone: 301-907-2600 FAX: 301-907-8671
http://www.wagner-dc.org

To add your name to our mailing list, send contact information to the Webmeisterin.
Questions? e-mail the Webmeisterin.

last update: 19 November 2003 Return to main page.

Last Name:	First Name:	Title:
Address 1:	Address 2:
City:	State:	Zip Code:
Home Phone:	Daytime Phone:	Fax Number:

Dual Member Last Name:		Dual Member First Name:
Dual Member Phone:

* Name on Card:
* Select Credit Card Type:	* Amount to be charged? ($)
* Credit Card Number:	* Expiration date:
Application Form Used: