Keith Hunt, President

131 Bennett Road

Camillus NY 13031

(315) 487-8806

keith.hunt@earthlink.net

David Loveland, Vice President

287 North Hillsboro Road

Camden NY 13316

(315) 245-3480

Peg Pietras, Secretary

5012 Driftwood Drive

Liverpool, NY  13088

(315) 457-0065

pietras@msn.com

Susan K. Barrington, Treasurer

3733 Lloyd Road

Cato, NY 13033

(315) 678-2025

susanbarrington2000@yahoo.com

~ OFFICERS ~

MEMBERSHIP APPLICATION

NEW YORK STATE OLD TYME FIDDLERS’ ASSOCIATION

Single Membership Application - $15.00 Annual Fee (Canadian $20.00 U.S. Funds); One Vote

Family Membership $25.00 (Canadian $30.00 U.S. Funds); Two Votes

Membership Year:  March 1 to March 1Dues are payable March 1 of each year.

Bylaws:  Article 1, Section 2 - The purpose of this organization shall be to

preserve, perpetuate and promote the tradition of Old Tyme Fiddling

To apply for membership, please copy/download, complete and return this application. To avoid mailing errors, please make sure information is legible and your mailing address is clear and correct.  Sign in the places provided.  Include the date of your application.  Send your application to the NYSOTFA Treasurer along with your dues; checks should be payable to

the New York State Old Tyme Fiddlers’ Association. 

NEW YORK STATE OLD TYME FIDDLERS' ASSOCIATION

NAME:_____________________________________  STREET ADDRESS:____________________________________________________

CITY/TOWN:_________________________________  STATE:__________ZIP:____________  COUNTY:______________________

PHONE:_______________________  DATE OF BIRTH:__________________  OCCUPATION:___________________________________

[     ]I AM RETIRED FROM:______________________________________________________________________________________

[     ]PLEASE SEND MY NYSOTFA NEWSLETTER BY EMAIL, INSTEAD OF BY US MAIL TO:

EMAIL ADDRESS:_____________________________________________________________________________________________

I CAN RECEIVE AND READ THE NEWSLETTER IN THE FOLLOWING FORMATS:

                [     ]      MICROSOFT WORD[     ]      MICROSOFT PUBLISHER[     ]      ADOBE PDF FILE

DO YOU PLAY AN INSTRUMENT?_________________________  HOW LONG HAVE YOU PLAYED?____________________________

WHO GOT YOU STARTED OR HOW DID YOU GET STARTED?___________________________________________________________

_________________________________________________________________________________________________________________

                                                    (USE REVERSE SIDE OF PAPER APPLICATION IF YOU NEED MORE SPACE)

REASON FOR JOINING (optional):____________________________________________________________________________________

CHAPTER YOU WISH TO BELONG TO (optional):_______________________________________________________________________

I do hereby agree to abide by any and all bylaws of the New York State Old Tyme Fiddlers’ Association, Inc.

and the decisions of its Board of Directors under due process.

DATE:_________________________________  SIGNATURE:______________________________________________________________

Date Application Received:________________________  Card Mailed:_______________________________________________________