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Live Music For Events
Local Bands and Ensembles
CMP Music For Community Events
Why Live Music?
Wedding Ceremony
Wedding Reception
Music Teachers
Events
Contact
About
Membership
Live Music For Events
Local Bands and Ensembles
CMP Music For Community Events
Why Live Music?
Wedding Ceremony
Wedding Reception
Music Teachers
Events
Contact
New Member Registration Form
New Member Registration Form
Personal Information
Given Legal Name
*
Given Legal Name
First Name
First Name
Middle Name
Middle Name
Last Name
Last Name
Birth Date
*
Social Security Number
*
If you prefer to not provide your SSN via this form, please call or visit the LFM Office to provide that info.
Your membership cannot be activated without it.
Email
*
Please provide an email address that you would like listed in the Members-Only directory.
Address
*
Address
Address
Address
City
City
State/Province
Alabama
Alaska
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State/Province
Zip/Postal
Zip/Postal
Who is the closest relative (or other person who will always know your address) not living with you?
Please write their relationship to you and their name, address, and phone number.
Phone Number(s)
Please provide any phone numbers you would like the LFM Office to have and want listed on the Members-Only Directory
Home Phone
Cell Phone
Work Phone
Website/Social Media Profiles
Please list a website or professional social media accounts you would like listed on your profile.
Professional Website/Social Media Service Name
Web Address
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AFM Membership Information
Professional Name
If different from given name.
Are you currently, or have you ever been a member of any Local of the American Federation of Musicians?
*
I have
never
been a member of any AFM Local.
I am
currently an active member
of a Local of the AFM.
I
used to be
a member of an AFM Local.
Which Local, and how was the membership terminated?
Which Local are you currently a member of?
Principal Instrument(s)
*
Other Instrument(s) Played
Are you currently a member of a band or musical group?
Yes
No
Please list the name and musical style of your group(s)
Do you have any agreements with personal manager(s) or booking agent(s)?
Yes
No
Please list their name(s)
Do you teach private lessons?
Yes
No
If you would like to be listed in our directory of music teachers, please select "Yes".
Please select the age range(s) you teach:
Preschool
Elementary
Middle School
High School
College
Life Insurance Beneficiary
As one of our membership benefits the Local maintains a $1,000 term life insurance policy on each member. Please fill out this information to designate your beneficiary.
Your Permanent Address (Only if different from above)
Your Permanent Address (Only if different from above)
Your Permanent Address (Only if different from above)
Your Permanent Address (Only if different from above)
City
City
State/Province
Alabama
Alaska
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State/Province
Zip/Postal
Zip/Postal
Beneficiary Name (If beneficiary is a married woman, please list her first name, MAIDEN name and last name)
*
Beneficiary Name (If beneficiary is a married woman, please list her first name, MAIDEN name and last name)
First Name
First Name
Middle (or Maiden) Name
Middle (or Maiden) Name
Last Name
Last Name
Beneficiary Social Security Number
You may omit the SSN or birthdate if you do not have this information.
Beneficiary Birthdate
*
Relationship of beneficiary
*
(Wife, husband, son, daughter, father, mother, friend, fiancé, etc.)
Beneficiary Phone
Beneficiary Address (If different from above)
Beneficiary Address (If different from above)
Beneficiary Address (If different from above)
Beneficiary Address (If different from above)
City
City
State/Province
Alabama
Alaska
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State/Province
Zip/Postal
Zip/Postal
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