Thank you for your interest in becoming a member of the Blue Ridge Blues Society! If you would like to receive an application by mail or have other questions or comments, please fill out the follow form. The Blue Ridge Blues Society is a grass roots educational 501(C)(3) non-profit, tax exempt, all volunteer organization governed by a Board of Directors and dedicated to the preservation, promotion and presentation of The Blues as a true American art form.

The information you provide is just for contact purposes only. Please do not include any personal information like credit card numbers, social security numbers, or other vital personal information.

First Name:

Last Name:

E-mail Address:

Mailing Address:

City:

State:

Zip Code:

Telephone Number:()

Please indicate which membership level you are interested in:

Individual - $20
Family - $25
Blues Brother/Sister - $50
Corporate/Sponsor - $100 or more.

Please mail me an application.

If you have any additional comments, please state below.

When finished, click submit or reset to start over. Thank you very much!