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Please print this form and send it along with a check for your membership to:

PMN/SFS
c/o Sarah Underhill
1150 Berme Rd
Kerhonkson, NY 12446

NAME ____________________________________________________________________

ORGANIZATION_____________________________________________________________

ADDRESS _________________________________________________________________

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HOME PHONE_______________________________________________________________

WORK PHONE_______________________________________________________________

DUES ($15-$50 sliding  scale) __________________________________________

DIRECTORY INFORMATION  Self  Description (25 words or less)
_________________________________________________________________________
_________________________________________________________________________
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RESOURCES: Skills, contacts, repertoire ( check as many as appropriate)

__ Women's Music                          __ Languages other than English
__ Liberation Songs                       __ Visual Art
__ Environmental                          __ Computer
__ Fund Raising                           __ Film/Video
__ Jewish/Yiddish                         __ Humor
__ Men's Music                            __ Labor
__ Middle East                            __ Radio
__ Nueva Cancion                          __ Spiritual
__ Lesbian/Gay/Bisexual                   __ Theater
__ Photographer                           __ Anti-nuke
__ Producer/Organizer                     __ Peace
__ Black Peoples Struggle's               __ Storyteller
__ Children's Music/Stories               __ Choral
__ Engineer  Recording & Sound
__ Other (describe) ___________________________________________________________________________________
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