Big Band Buddy Club Pledge Form

First Name:             Last Name:    Address1:   Address2:   CITY:      STATE:          ZIP:         PHONE: EMAIL: Yes I want to become a Big Band Buddy. Please send me my membership form and I will return my contribution of $20.00. I understand I will receive my CD Glenn Miller Orchestra: Moonlight Serenade upon receipt of my membership contribution. I want to become a Big Band Buddy but do not send a CD. Put my entire contribution toward your great Big Band Programming. I want to become a Big Band Buddy but would like to contribute more than $20.00. I would like to contribute Send CD Yes     No