South Central Iowa Bandmasters Association District Membership Form
Please be reminded that members MUST pay SCIBA dues, as well as IBA dues, to participate in SCIBA events. The dues are $10 annually.

Make checks out to: South Central Iowa Bandmasters Association (SCIBA)

Send checks to:
Kara Barker, Treasurer, SCIBA
Roland-Story Middle School
206 S Main Street
Roland, IA 50236
Email address *
First Name *
Last Name *
School *
School Address *
School City *
School Zip Code *
School Phone *
(xxx)-xxx-xxxx
School Fax
(xxx)-xxx-xxxx
Home Address *
Home City *
Home Zip Code *
Home Phone *
(xxx)-xxx-xxxx
Purchase order number (if needed)
A copy of your responses will be emailed to the address you provided.
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