Member Name
AGO certificates
(If moving) Former Address
If an address change, has AGO Headquarters already been informed?   YES ___   NO ___
FROM: Chapter Name
TO: Chapter Name
As a member in good standing of the American Guild of Organists, I request that my membership be transferred as noted above. By my signature below, I agree to abide by the Code of Ethics of the American Guild of Organists and the operating procedures of the chapter to which I am transferring.
Signature ________________________________________
   Date ____________

As a representative of the transferring chapter, I attest that this membership has been transferred and enclose a check in the amount of $_______, payable to the receiving chapter, which represents the appropriate portion of local dues.1
Signature ________________________________________
   Date ____________
Receiving Chapter Approval of Transfer
Receiving Chapter Official Name / Title ________________________________________
Signature of Official  ________________________________________
Transferring Chapter - Please send this form (and check) to the dean of the new chapter.

Receiving Chapter - Please send or fax this completed form to:

Central Florida AGO Chapter
Membership Coordinator
American Guild of Organists
475 Riverside Drive, Suite 1260
New York NY 10115
Fax: 212-870-2163
Ken Stoops, Registrar
Central Florida AGO 

     2035 Bentley St.
     Orlando FL 32805
1 If the member is transferring prior to December 1, the full local portion should be transferred to the new chapter.
Between December 1 and March 1, half of that portion should be forwarded. After March 1, no dues should be exchanged.