2007 MACCC Membership Form

Name: _________________________________ email __________________
Address: _________________________________ City _________________ State ____ Zip ____________
Home phone (____ ) _______________
College: ____________________________

* One Year Membership is $40.00 ___ * Two Year Membership is $75.00 ___ * Part-time/ Staff Membership is $15.00 ___
Check section X
____ Northern ____ Southern ____New Member ____Renewal ____New address

Make checks payable to: MACCC
     Send to:
MACCC C/O Music Department -
Christine Park
Los Angeles City College
855 North Vermont Ave.
Los Angeles, CA 90029
(323) 953-4000 x2887