New Member Application

I, the undersigned hereby apply for membership in the above stated Local of the American Federation of Musicians of the United States and Canada (A.F. of M.). I affirm that all statements made in the Application are true and complete. I agree that, at the option of Local, I shall forfeit my membership and all monies paid therefore if I deliberately furnish any false information herein.

First Name

Last Name

E-mail Address

Password

Confirm Password

Address

Address2

Main Phone Number

Mobile Phone

Birth Date

Biography

Gender

MaleFemale

Main Instrument

Instrument2

Instrumnet3

Instrument4

Instrument5

Username or E-mail

Username

New Members will owe ONE TIME initiation fees and a first payment of membership dues. A 6% processing fee is added for online payments. New Membership Fees: Initiation Fees - $165 + 1st Six Months Dues - $70 (processing fee will be included) $ 249.10

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