The Company of Fifers & Drummers
Membership Application

Print this form and mail with payment.

Check where appropriate:
Individual, U.S. -- $25
Family, U.S. -- $40
Canada, Individual -- $30
International, Individual -- $35
Individual, Junior -- $10 (age 18 or under during the current calendar year)
Life Membership -- For a donation of $1000 or more, The Company of Fifers & Drummers will establish a Life Membership in the name of the Donor. (Only ONE donor name per Life Membership, please!)
I would like to learn about flexible payment schedules for a $1,000 donation.
Corps Discounts -- I would like to learn about big savings for 10 or more individual memberships.
Name ____________________________________________________
Address __________________________________________________
City _____________________________________________________
State _________ Zip ____________ Tel. ( ___ ) ________________
E-mail _______________________ Website_____________________
Corps affiliation ___________________________________________
Fife   Snare Drum   Bass Drum   Drum Major  
Color Guard Other:_____________________
If this a Junior Membership, please list age: ________
This is a gift membership from:______________________________

Please send your check or money order payable to:

The Company of Fifers & Drummers, Inc.
P.O. Box 277
Ivoryton, CT 06442-0277 USA