Flint Theatre Organ Club Membership Application
The information provided is used strictly for FTOC purposes and is not shared with third parties. Please include proper membership dues (written to Flint Theatre Organ Club) with this application and mail to: FTOC, 9378 Rayna Dr., Davison, MI 48423. Membership includes youth under the age of 18 living in the same household. (Membership Dues are $20.00 per year January-December, prorated)
For more membership information contact: members@FTOC.org or call: 810-653-4976
First Name: __________________________ Last Name: ___________________________________
Spouse: _____________________________
Address: _____________________________________________
City: _______________________ St: ____ Zip: _____________
Telephone: ___________________________ Email: ______________________________________
Children: _________________________
_________________________
_________________________
Do you play the organ? YES NO Does a family member? YES NO
Do you own an organ? YES NO If yes, what make/type: _________________________________________
Would you be interested in scheduling time to play the Barton 3-11? YES NO