September 25, 2021

The Rhode Island Rhythm and Blues Preservation Society Membership Application

Posted

12 Kipling Street, Providence, Rhode Island 02907 401.461.0012 │ rirbps@gmail.comwww.bluespreservationsociety.org 

Join/Renew RIRBPS Membership Today!

Become an active member or simply enjoy the variety of events and concerts we have to offer. RIRBPS is a 501(c)3 non-profit organization committed to preserving and promoting the blues in the African American tradition. All donations are tax deductible to the full extent of the law.

The membership renewal year starts June 1 and expires May 31 of each year. First time applicants are prorated quarterly on a one-time basis and are assessed the full fee for each renewal year. To become a member, please complete the application and mail to the address below:
Membership Fee Schedule: Quantity Fee

Student $ 5/yr ____ ____
Individual: $ 15/yr ____ ____
Couples $ 25/yr ____ ____
Non Profit $ 50/yr ____ ____
Venue/Club $ 75/yr ____ ____
Corporation $ 100/yr ____ ____
Subtotal ____
Donation (Optional) ____
Total ____

NAME: _______________________________________________________________________

Address_______________________________________________________________________

City_____________________________________ State_____________ ZIP_____________

Telephone No.________________________ E-mail Address__________________________

VOLUNTEER INFORMATION (Optional): In addition to supporting the Society with my membership donation, I would like to help out as a volunteer in the following way: ____________________________________________________________________________________________________________________________________________________________
______________________________________________________________________________

Mail application with check or money order payable to RIRBPS:

Sylvia Whiting, Treasurer
24 Jennifer Lane, Stoughton, MA 02072
857.222.1785 / sylmax99@yahoo.com  

RIRBPS is a 501(c)3 Tax Deductible Organization.

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