Membership Application Form

Print and mail completed form to:

 

Blue Water Musician’s Network

1219 Military

Port Huron, MI   48060

 

Make Checks or Money Orders payable to

Blue Water Musician’s Network

Name: _____________________________________                   Musician:                 ______

 

Address: ____________________________________                 Instrument:              ______

 

City: ______________________  State: ___________                 Singer:                     ______

 

Zip: __________  Phone: _______________________                 Non-Musician:        ______

 

Email: ______________________________________

 

 

Type Of Yearly Membership:      Student         $20.00          ___

                                                       Individual     $35.00          ___

                                                       Couple          $50.00          ___

                                                       Patron           $250.00        ___

                                                       Corporate      $1,000.00      ___

 

 

How did you hear about us? ______________________________________________________________________________

 

______________________________________________________________________________

 

Reason for joining?

______________________________________________________________________________

 

______________________________________________________________________________

 

 

Area of volunteer interest?

______________________________________________________________________________

 

______________________________________________________________________________

 

 

For bands please include information for all members.

 

 

 

 

 

 

 

Home   Calendar General  Information   Application Consignment Sales  Members  Photos