Massachusetts Country Music MEMBERSHIP APPLICATION
Awards Association ANNUAL DUES:
P.O.Box 2066, Abingtion, Ma 02351 Adult (14 yrs and older ) $15.00
Joint (Couple at same address) $20.00
Name_______________________________________ Phone#______________________
Address_________________________________________________
City__________________________________________ State______ Zip______________
email @ddress_________________________________
Professional Status: FAN:____ Musician:____ Entertainer____ Radio____
Musicians and Entertainers Please indicate which specialty(s) apply to you
Vocalist ____ Lead Guitar ____ Bass Guitar ____ Drums ____ Rhythm Guitar ____
Steel Guitar____ Keyboard____ Banjo____ Fiddle____ Other________________
Signature:_____________________________________________
Renewal? ____ Member # ___________
New Member: _____ Referred by: __________________________
Massachusetts Country Music
Mail Check or Money Order to : Awards Association
P.O.Box 2066, Abingtion, Ma 02351
