APPLICATION
FOR MEMBERSHIP
“THE
CARAVAN”
The Official Fan Club of Peter White
Name:
________________________________________________________________________
Address:
_____________________________________________________________________
City:
___________________________ State/Zip______________
Country_____________
Phone
Contact: _________________________ E-Mail Address:
_____________________
Your
Birthday: _________________________
Tell Us
About you: (hobbies, career,
children, whatever you like)
_____________________________________________________________________________
_____________________________________________________________________________
Favorite Peter White Album:
__________________________________________________
Favorite Peter White Song:
___________________________________________________
Other
Jazz Artists You Follow:
_______________________________________________
What
part of the Fan Club would you like to contribute to if you can?
(Check
as many as you want, but I’ll be calling on you):
__Graphics/Design
__Photos
Newsletter Contributions
__Reviews
__Editorials/Opinions
__Keeping up with other
artists
__Contest Suggestions
__PW Crossword Puzzle
__Fan Club Get-togethers
__Membership
drives
__Musicians Corner (comments
or technical points, reviews, critiques, opinions)
__Any other (your
suggestions are always welcomed)_______________________
_________________________________________________________________________
$20.00
USA & Canada
$25.00
for International
Official E-Mail Address: PerfectCaravan@aol.com
Check
or Money Order payable to:
The Caravan c/o Joan Lynch
Mail
to: Vicki Rea
Tampa, Florida 33626 USA
Your
annual membership will include quarterly newsletters and the opportunities to
participate in give-aways, meets and greets (if possible), contests and
raffles.
Member’s Signature
____________________________________________________________
New
__ Renewal
__
Referred by
________________________________________________________________