American Guild of Organists
Central Florida Chapter
2016-2017 Membership Form
It is now time to renew your membership for the 2016-2017 year. Your dues include a one-year subscription to The American Organist Magazine (TAO) and support for the programs run by the national organization and by our local chapter. To continue receiving the benefits of membership and your TAO subscription, please mail your dues payment now to:
Make Checks Payable to:  Central Florida AGO 
 
Mail to:  Ken Stoops
186 Underhill Loop Dr.
Orlando FL 32825
Membership Type [Choose one]
    

Name  
Opt. Title First Name Middle Initial Last Name
Opt. Suffix
Address 1 
Address 2 
City/ST/Zip 
     - 
Telephone 
(     Home FAX (
E-Mail 
Job Title
Primary Church or Business:
Other Church or Business Information: (Optional)
Name 
     
Name 
Address 1 
Address 2 
City/ST/Zip 
Telephone 
FAX  
Address 1 
Address 2 
City/ST/Zip 
     - 
Telephone 
(     Church FAX (
Church or 
Work E-Mail 
Church Website 
Supply 
If you selected any category in Voting Membership and are available to substitute, indicate those that apply:
    
       Do you teach organ?  
If you are available to substitute,
indicate those that apply:
Worship Services
  Weddings
  Funerals
    
           
         
         

Certification 
Please check areas of expertise AGO certification, if any
O = Organist      FAGO = Fellow
A = Associate or Assistant AAGO = Associate
C = Director
CAGO = Colleague
H – Handbells ChM = Choirmaster
Fl – Flutist SvPlC = Service Playing Certificate
V – Vocalist
Membership Category (choose one)
Amount
Voting Membership
      
Regular
$100.00
Special
$75.00
(Over 65, under 21 or disabled)
Student
$40.00
(Full-time with valid school I.D.)
Partner
(2nd member at same address, no TAO)
1st Member
$100.00
2nd Member
$75.00
Dual (Paid to 2nd Chapter)
$38.00
Student Dual Member
$13.00
Non-Voting Membership
Chapter Friend (no TAO)
$40.00
   (Optional: Consider $5.00 or more, please)
Tax Deductible: CFAGO Scholarship Fund
$__5.00_

AMOUNT TO ENCLOSE:
Primary Chapter:

Opportunities for service as an active member of Central Florida AGO.
Please check one – or more!
I am willing to serve in AGO. Please contact me for service:
      Hospitality Chairman
Set up or clean up – receptions
Newsletter
Yearbook help
Usher (if needed) at concerts
Play in a members’ recital
Other
Signature____________________________________________Date____________________
By signing this form, you agree to abide by the Code of Ethics of the American Guild of Organists.
Please complete the AGO Sign Up Sheet HERE. and mail the form with your membership application.