Focus Response Form

(Print, fill out, and mail)

===============================================

Yes, I want an annual membership in Focus at this level:

[_]   $75 - Friend    (Household)
[_]   $50 - Friend    (Individual)
[_]   $35 - Fan       (Household)
[_]   $25 - Fan       (Individual)

[_] $______I want to make this additional tax-deductible contribution.

[_] Add me to your volunteer list.

[_] I'm not ready to join, but put me on the Focus mailing list.


Name(s)_________________________________

________________________________________

Address_________________________________

________________________________________

City_____________________________________

State________      Zip_______________________

Phone___________________________________

E-Mail___________________________________
 

Joining or renewing date: _______________

MAKE CHECK PAYABLE TO: Focus
and mail to:

Focus
P.O. Box 65323
Washington, DC 20035

(Focus is a tax-deductible [501(c)(3)] organization, affiliated with
The North American Folk Music and Dance Alliance, Inc.)