IAJRC Membership Directory Profile

  • TO UPDATE YOUR PROFILE, fill in only changed boxes.
  • NEW MEMBERS should complete the entire form.
    Information will be used for mailings and will be published in our biennial Membership Directory.

    • Name:Year born:
    Address:
    City:State/Province: (US/Canada)
    Postal/Zip Code:Country:
    Home Phone:Office Phone:
    FAX Phone:Cell Phone:
    E-Mail:Pager Number:
    Occupation:
    (If retired, please indicate former occupation)    		 Retired?Yes   No
    General Collecting Interests:
    Collection:
    (Enter number or check)
    78s 45s LPs CDs
    Transcriptions cassettes reel tapes piano rolls
    cylinders films videos sheet music
    books magazines other
    Collecting Activity:Buy    Sell    Trade
    Specialization If you are a recognized specialist in an artist, label, composer, composition, format or era, or are the author of a book or other jazz-oriented scholarly work, include a short explanation here for inclusion in our separate Specialist listing in the next published "Membership Directory".
    How were you referred to us? Additional note to Registrar:
    I am a