Viola da Gamba Society-Pacifica Membership Form
Updated 8/25/2017

Last Name:
First Name:
Street Address:
City, State and ZIP:
E-mail address:
Phone Number:

I would like to join Viola da Gamba Society/Pacifica.
I would like to renew my membership.
I am a current member and need to update my information.

Message: (optional)

Membership Categories:
$45.00 Playing membership. Includes monthly Chapter meetings, email announcements and newsletter.
$55.00 Household membership. Two playing members in the same household. You share all the rights and privileges of a Playing Member.
$15.00 Student. For full-time students. Attend monthly play days and receive email announcements and newsletter.
$15.00 Non-playing membership. Receive the email announcements and monthly newsletter.

A donation ($25 $50 $100 Other) to VdGS/Pacifica will help enable
us to buy more sheet music and rental instruments and grow our scholarship fund.

Amount enclosed:  

To join Viola da Gamba Society-Pacifica, please fill out this form and print a copy.
Mail the printed form with your check to Viola da Gamba Society-Pacifica, 5507 Uniform Ct,
Fairfield, CA 94533.