The Sidney Bechet Society Order Form
Instructions: Please use your computer to fill out "Section A" then use your browser print function. Next hand write "Section B and C" then mail the form with a check or money order to the address listed below.
Section A: Please provide the following contact and shipping information: (fields with an (*) are required)
First name*
Middle-Initial
Last name*
Street address*
Address (cont.)
City*
State/Province*
Zip/Postal code*
Country*
Phone Number*
Fax-Number
E-mail Address*
Web Page (if any)
Section B: Please print this form now, then hand write in the following ordering information:
Quantity
Description
Price
Total
  The Sidney Bechet Society Jam Session Concert CD $ 15.00 $
  A Tribute To Sidney Bechet CD (remastered with liner notes) $ 15.00 $
 
A Tribute To Bechet VHS Video
VHS NTSC
VHS PAL
$ 24.95 $
  "Treat It Gentle" Book (second edition) $ 15.00 $
  DONATION  $ $
  Concert Admission (Members)
Please Indicate:

7:15PM

 Please Indicate Date of show

___/___/____Day/Month/Year
$ 25.00 $
  Concert Admission (General Public)
Please Indicate:

7:15PM

 Please Indicate Date of show

___/___/____Day/Month/Year
$ 35.00 $
Section C: Like to become a member! Please choose type of membership
$25.00 for one year's general membership
$15.00 for student or senior (over 65) membership
$500.00 for lifetime membership
$1,000 for lifetime sponsorship (includes free admission to all SBS events)
$ $
Sub Total $
Postage and Handling required when ordering CDs, Videos & Books
($4.00 Domestic, $12.00 International)
$
Please check box if you are a member of the Sidney Bechet Society

Total Enclosed

$

Make checks or money order payable to: The Sidney Bechet Society, Ltd.®, 20 Joy Drive, New Hyde Park, N.Y. 11040
All contributions to The Sidney Bechet Society Ltd.®, a non-profit organization, are tax-deductible.