FRESNO DIXIELAND SOCIETY P.O. Box 16399 Fresno, CA 93755 Jazz Hotline 559-292-3999 E-Mail: Cdandfriends@aol.com 2007 Membership Application - $15.00 per person NEW [ ] RENEWAL [ ] ADDRESS CHANGE [ ] I wish to volunteer for Club and/or Mardi Gras work. Date________________ Name____________________________________________ Address_________________________________________ City____________________________________________ Zip Code________________________________________ Home Phone______________________________________ Work Phone______________________________________ E-mail address__________________________________ Birthday________________________________________ Anniversary_____________________________________