Print the form below and mail it with your payment to the address below.

OREGON CHAPTER

AMERICAN  THEATRE  ORGAN

SOCIETY

New and Renewal Membership form

Name__________________________________________  Tel. (______)_____________

 Address_________________________________________________________________

 City________________________________ State_________________ Zip___________

 e-Mail____________________________________

 Do you play?  _________________________

 Organ owned? ___________   Brand / Type? ____________________

 Annual Dues (Jan – Dec) = $22  (6 months, Jul – Dec = $11)

 Additional tax-deductable contribution _____

                                                Total   _______                       New______  Renewal______

 Send this form and check to:       (please make checks payable to – Oregon Chapter ATOS)

Carol Brown

Secretary, Oregon Chapter ATOS

22115 NW Imbrie Dr. Suite 149

Hillsboro, OR  97124

Click here to join the ATOS (National) or renew your ATOS membership on-line" and follow the
instructions provided.