Online Membership Dues Form

Membership Type

Please select one membership type below.

Name

First Name

Last Name

Address Line 1

Address Line 2

City

State

Zip Code

Email

Your email will only be used by FPM to inform you of musical events.

Preferred Phone Number

(###)

###

####

Additional Phone Number

(###)

###

####

How much would you like to donate?

$

Donations

Would you like to make a donation to a specific award? If so, please specify the amount donated to the award(s) below.

Dorothy Reaves String Award

If you would like to donate to the Dorothy Reaves String Award, please specify how much below.

$

William Dishman Brass Award

If you would like to donate to the William Dishman Brass Award, please specify how much below.

$

Betsy Schnell Piano Award

If you would like to donate to the Betsy Schnell Piano Award, please specify how much below.

$

Sarah Baird Fouse Woodwind Award

If you would like to donate to the Sarah Baird Fouse Woodwind Award, please specify how much below.

$

Anything else you'd like us to know?

If you have any questions or issues, please contact Claudia Brill.

Online Membership Form