JAZZ COLLECTORS & TRADERS
MEMBERSHIP FORM

You are welcome to place your personal ad!


Mr. Ms.

First Name:

Last Name:

E-mail:

My Home Page:

My WWW CD's/Tapes/mp3 List:

Phone Number (with country code!):

Fax Number (with country code!):

My Address for Snail Mail:

Street/P.O.Box:

City:

Zip Code:

Country:

My ad (maximum 150 words):