Mail the following information to:

Illiana Club of Traditional Jazz (ICOTJ)
P.O. Box 3356
Munster, IN 46321

or email to: info@illianajazz.com


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

Illiana Club of Traditional Jazz
We Invite You to Join Our Club !!
Illiana Home Page