Membership Donation - Check

HomeMembership Donation – Check

Please complete the form below, print it out, and include it with a check mailed to
Blues Society of Omaha, P.O. Box 241698, Omaha, NE, 68124. Thank you!

    (* = a required field)
    Please select the type of donation: *

    Please select the membership level: *


    Name or names to appear in membership database: *

    Email address of member: *

    Phone number of member: *

    Mailing Address
    Street: *
    Street:
    City: * State: * ZIP: *

    YES, GO GREEN! I choose to receive my monthly newsletter by email rather than by U.S. Mail. I want to help save on the high costs of printing and postage, thus allowing BSO funds to be used for better purposes in the cause to promote blues music.

    If this membership is a gift,

    what is your name? what is your email?


    General Donor

    $30/year
    • Monthly Newsletter – Blues Notes
    • 1 Membership Card
    • Plus various show discounts and venue specials

    Family Donor

    $45/year
    • Monthly Newsletter – Blues Notes
    • 2 Membership Cards
    • Plus various show discounts and venue specials

    Special Donor

    $80/year
    • Monthly Newsletter – Blues Notes
    • 2 Membership Cards
    • Name Listed in Blues Notes newsletter
    • Plus various show discounts and venue specials

    Corporate Donor

    $130/year
    • Monthly Newsletter – Blues Notes
    • 3 Membership Cards
    • Name Listed in Blues Notes newsletter
    • Plus various show discounts and venue specials

    Blue Club Donor

    $250/year
    • Monthly Newsletter – Blues Notes
    • 5 Membership Cards
    • 1st Month Free Business Card Advertisement
    • Name Listed in Blues Notes newsletter
    • Plus various show discounts and venue specials