Mail the following information to:
Illiana Club of Traditional Jazz (ICOTJ)
P.O. Box 3356
Munster, IN 46321
Name(s) of adult family members in the same household to become members



_____________________________________________



_____________________________________________



_____________________________________________
Street or P.O. # ____________________________________________
City, State, Zip
_____________________________________________
Home telephone # ___________________________________
Email Address: ___________________________________
Family memberships cost $20 per year
Single memberships cost $15 per year
Please enclose check made out to "ICOTJ" and indicate desired membership
Benefits:
You will receive our club newsletter (Notes to You)
You will be able to vote in the annual election of officers