MEMBERSHIP TRANSFER FORM
 
 
          
Member Name
 
________________________________________
 
AGO certificates
 
________________________________________
 
(If moving) Former Address
 
________________________________________
 
City/State/Zip
 
________________________________________
 
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 ____________
  
TRANSFERRING MEMBER SHOULD COMPLETE PORTION ABOVE


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.