MABA

Memphis Area Bluegrass Association

Official Membership Form

Name____________________________________________________________________________

Address__________________________________________________________________________

City _______________________________ State ________ Zip __________________

Phone ______ _________________ Work ______ ______________________

Mobile ______ _________________ Email ___________________________________________

Be a member of the MABA Yahoo Email Group Yes ______ No ______

Release contact information for MABA directory Yes _____ No ______

Receive Newsgrass Newsletter via the Internet Yes _____ No ______

Occupation _____________________________________________________________________

Instrument(s)___________________________________________________________________

New Membership Dues : Renewal Membership Dues-2007:

(Jan 1^st - June 30th) $25.00 $25.00 per year due by Jan lst

(July Ist - Dec 31st ) $15.00

Make checks Payable To:

Memphis Area Bluegrass Association

Attn: Membership

P. O. Box 171152

Memphis, TN 38187-1152