Pittsburgh Area Theatre Organ Society, Inc.

Pittsburgh Area Theatre Organ Society, Inc.

5356 Overland Trail, Pittsburgh, PA 15236-2843

 

 

NAME(S) ____________________________________________________

 

ADDRESS ___________________________________________________

 

CITY, STATE, ZIP _____________________________________________

 

TELEPHONE_________________________________________________

 

EMAIL ADDRESS (if any) ______________________________________

 

ORGAN (if any) _______________________________________________

 

(  ) Family Membership  ($24.00/year)

 

(  ) Individual Membership  ($12.00/year)

 

Please make check payable to:

                                                       PATOS

                                                       5356 Overland Trail

                                                       Pittsburgh, PA 15236-2843

PATOS MEMBERSHIP APPLICATION

Print this form and mail to the address below