Please complete and submit your registration by printing it and mailing it along with your donation to:
Robert Miller, LVFMS President, 2624 Willow Street, Coplay, Pa. 18037.

Thank you for your interest in promoting and preserving folk music!

Choose your Membership Category:

If you are a Sponsor, please indicate your contribution.

Your full name:

Organization or family name:

Mailing Address or P.O. Box:

City:                                                 State/Province:                Postal/Zip Code:


E-mail address:


Which Society function is of most interest to you?

Membership in other Folk Music Societies in which you belong:

Sex                     Age Category:


What musical instruments do you play?

Acoustic guitar (12-String)     Acoustic guitar (6-String)     Ukulele        5-String Banjo
Autoharp Tenor Banjo Harmonica Mandolin
Upright Bass Hand Drums Spoons Fiddle
Bass Guitar Dobro Lap Dulcimer Hammered Dulcimer
Concertina Accordian Tambourine Washboard
Lap Steel Bag Pipes Recorder Penny Whistle
Citern/Bouzouki Piano Flute Brass
Shakers Classical Guitar Harp Other

What is your preferred singing range?

What following areas of music apply to you?

Listener      Solo Performing Artist      Group Performing Artist        Songwriter
Jamming      Recording      Sound Person        Instrument Teacher
Choir      Music Store Worker      Music Educator        Music Historian

What kinds of folk music do you prefer?

Children's Folk      Early 20th Century      International        Contemporary
Bluegrass      Sixties Revival      Appalachian Mountains        Country and Western
Celtic      Civil War Period      Revolutionary War Period        19th Century
Tin Pan Alley      Gospel      Delta Blues        Shape Note


Now that you have finished, please go back and check your data
and then print the form.