Please:  1. Print this page   2. Complete the form   3. Enclose the form + your check (unless using a credit card) and mail to:

California State University, Los Angeles
Department of Music (Attn: Friends of Music)
5151 State University Drive
Los Angeles, CA   90032-8102

Yes! I/we would like to become a member of Friends of Music at California State University, Los Angeles.  I/we have enclosed a contribution for the current academic year and have checked the appropriate category below.  I/we understand that contributions are tax deductible and will be used to support scholarships, grants-in-aid, and other Friends of Music programs.
___  Regular Member ($35)

___ Sustaining Member ($50)

___ Patron ($100)		 ___ Sponsor ($250)

___ Benefactor ($500)

___ Distinguished Benefactor ($1,000)
___ Student or Affiliate ($20) ~ affiliates are CSLA graduates within the past 5 years

If you wish to apply your donation to a particular scholarship, please designate below.  If not, we will apply it appropriately.

_______________________________________________________________________

___ I have enclosed a check for $____________ made payable to Friends of Music.

___ You may charge this donation to my   ___Mastercard   ___Visa account.

Card#________________________________ Exp. Date________________________
                                                                                                                    (month/year)

Please print your name(s) exactly as you wish it to
appear on the Friends of Music membership roster.

Name(s)_______________________________________________________________

Street Address__________________________________________________________

City___________________________________  State_____  Zip Code_____________

Telephone (____) __________________  Email address:_________________________

If your employer supports matching gifts, please list your company name below:

______________________________________________________________________

Thank You!