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Mail Application

DJSLC Membership Application
You can fill this form out with your keyboard and print it or print a
blank form and fill it out by hand.
.

To return to DJSLC Home Page click HERE.

Return the completed application with your check for $20 ($15 for contributing musicians) payable to DJSLC and send it to:

Mr Ted Druhot
Membership DJSLC
Yacht Club Villa Apt 7548
Hilton Head Island, SC 29928

INSTRUMENT

NAMES

ADDRESS

CITY, STATE, ZIP

TELEPHONE

VOLUNTARY CONTRIBUTION TO SCHOLARSHIP FUND

EMAIL

NEW MEMBER OR RENEWAL