Page 10 - From Jazz Novice to Jazz Connisseur
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Complete the survey below to be notified when JMAT 4 Youth Small Community Organizations/Societies Strategic
 .                           Alliance formation registration begins.

               What to do next?  Spread the word about JMAT 4 Youth to your prospective members. We’ll notify you
                by email when registration begins in the Spring of 2019, and how you and your members can sign up.  If
                you have any questions in the meantime email them to info@jmat4youth.org

               ------------------------------------------------------------------------------------------------------------------------------------------------------

               I am interested in forming a new: *

                      Small Community Organization Strategic Alliance       Jazzsipper Society


               Are you starting a new Small Community Organization or Jazzsipper Society? *

                        Yes
                        No

               Are you a current Member of a Small Community Organization or Jazz Society? *

                     Yes          No


               Current Small Community Organization, or Jazz Society interested in forming a: *

                     Small Community Organization Strategic Alliance        Jazzsipper Society

               ORGANIZER INFORMATION

               Organizer Email * _____________________________________________

               Organizer First Name * _____________________________________________

               Organizer Last Name *   _____________________________________________
               Organizer Phone ** _____________________________________________


               COMMUNITY ORGANIZATION OR SOCIETY INFORMATION
               Number of Potential Members ** _____________________________________________

               Community Organization/Society ** _____________________________________________

               Enter the name of your church, high school, or social media community group*____________________

               Location City ** _____________________________________________

               Location State * _____________________________________________
               Location Post/Zip *_____________________________________________


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