NIBA Membership Form

Northern Illinois Bluegrass Association

Membership Application/ Renewal Form

 

Please make check payable to:  NIBA

                                                     PO Box 310

                                                     West Dundee, IL 60118

 

please print:

First Name: _______________________________________

 

Last Name: _______________________________________

 

Address: _________________________________________

 

City: _____________________________________________

 

State: _____________ Zip: ______________________

 

 

 

Phone: __(______)____________________

 

Email: _______________________________

 

Send newsletter by email:  

(Not recommended for dialups!)

 

Please publish my information

in the Membership directory

 

I heard about NIBA from:

 

__________________________________________

for office use:

payment::______________________ month/year:________________

Please send check and completed application to NIBA  PO Box 310  West Dundee, IL 60118

 

   Student membership   Free to all high school or full time college students.

 

   Individual Membership  $15.00 per year

Regular membership fee includes newsletters, one printed copy of the membership contact roster, one NIBA sticker for new memberships, free admission to the Summer Picnic, free admission to the Holiday Party & Chili Cook Off, one free classified ad listing at any given time, free bluegrass band listing and promotion of bluegrass events of all types in Northern Illinois and beyond.

 

    Supporting Membership  $30.00 per year

Everything listed above plus a website listing with photo hyperlinked to your business or personal website. Links are subject to review & approval by NIBA.

 

    Sponsoring Membership  $100.00 per year

Everything listed above plus a one year webpage featuring your band, business or personal information listed on our Sponsors page including photo(s), graphics or logos of your choice, plus hyperlinks to your website, plus a half page ad published quarterly in our news letter. Links and ads are subject to review & approval by NIBA.

 

 

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Yes        No