Illness Report


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Please use this form to report DCBA members who are ill, injured, or who may have lost loved ones and need our sympathy. Please include the members name, a description of their ailment, illness, injury, or whom they have lost. Be sure to include your name, phone, and email below the text box so we may contact you for clarification if necessary.

 

Please use the text box below to provide information about the member per the instructions above.

 

Please include the following fields so that we may contact you if necessary.

Name
Telephone
E-mail

 Thanks for taking the time to let our members know about the condition of their fellow members.

 

Broadcast Music Inc.

Contact Information

If you are interested in contacting us you may do so at the following numbers and addresses.

Postal address
Derby City Bop Association
PO Box 43363
       Louisville, KY 40253-0363
Electronic mail
General Information: info@derbycitybop.com

Send mail to j.brown@derbycitybop.com with questions or comments about this web site.
Copyright © 2007 and 2008  Derby City Bop Association
Last modified: 06/22/08