New West Symphony League
Membership Application

NOTE: Dues must be received by Oct. 1 in order to be included in Directory 

Please complete the form below and click on "Submit" to complete your membership application.

To submit this form, all "*" fields must be filled in.

Please indicate your annual level of support:
Individual $75
Couple $125

League year begins Sept. 1; new members after March 1 pro-rated at 50%)
Badge backing (please check one):
Pocket Slip-On (suitable for men's suit jackets) ($4.00 extra, whether new or renewal)
Renewing members may order new badge with new logo for $10.00 each
1 New Badge 2 New Badges
No New badge
Additional donation:
Membership Season*
Type of Membership*
Your Contact Information
First Name*
Last Name*
Home Phone
Confirm Email*
Preferred Method of Communication
Payment Information
Payment Info

The New West Symphony is a 501(c)(3) non-profit organization, Tax ID: 77-0406042

If you wish to pay by check, please make it payable to "NWSL." Print out this form and please mail it to:

New West Symphony League
c/o Pat Croner
31097 Benchly Court
Westlake Village, CA 91361-4105

Call Pat Croner
(818) 889-7712