RENEWAL OHIO FEDERATION OF MUSIC CLUBS

NEW JUNIOR SPECIAL MEMBERSHIP

(For students age 18 & under)

Please complete this form (Print or Type) Date __________________________

Name: ____________________________________ Age _____

Address: __________________________________ City & Zip Code: ______________________________

Phone No: ( ) E-Mail Address: ________________________________

Music Teacher's name

Festival District or Festival Location (college)

Annual dues of $15 include one subscription (3 issues) of Junior Keynotes. Amount Enclosed __________

Send completed form and a check or Money Order (payable to OFMC) to the Junior Division treasurer,

Karl Morris, 200 Country Club Dr. SE, Warren, OH 44484-4660. Email: jkmorris200@embarqmail.com