If sending
money order or cashier's check
AMERICAN MUSIC & MEDIA ASSOCIATION
MEMBERSHIP FORM
Name:____________________________________
Company:_________________________________
Address:__________________________________
Home Phone:____________________
Work Phone:____________________
E-mail:_________________________
Would you be interested in our newsletter?
Yes__________ No___________
Best time to call:_________________ (morning, afternoon, evening)
Would you be interested in information on other events?
Yes__________ No___________
SEND APPLICATION ALONG WITH CASHIER'S CHECK OR MONEY ORDER TO
THE AMERICAN MUSIC & MEDIA ASSOCIATION
134 MIAMI PLACE
KENNER, LA 70065-4030
FAX: (504) 467-9459
