Membership form for Musicians National Referral, where pro musicians and bands can connect locally, regionally, and nationally. Find the perfect band for you and your talents.
WHERE PRO MUSICIANS AND BANDS CONNECT FORM FOR MUSICIANS to JOIN MNR hotgigs@mindspring.com FILL OUT THIS FORM AND SUBMIT, EMAIL OR PRINT OUT AND SNAIL MAIL TO: MNR POB 11 SKYFOREST CA 92385 We recommend printing the filled out form and keeping it for your records OR FAX FORM TO 1909 336-1894 ANY QUESTIONS CALL 1800 366-4447
LAST NAME
ADDRESS
CITY
STATEZIP
PHONEWORK
EMAILFAX
TRAVEL PREFERENCES: LOCALREGIONALNATIONALINTERNATIONAL
HOW MANY YEARS HAVE YOU PLAYED PROFESSIONALLY?
HOW DID YOU HEAR ABOUT MNR?
MAIN INSTRUMENT
SECONDARY
VOCALS: LEADBACKUP
PREFERRED MUSIC STYLES:
INFO YOU FEEL IS IMPORTANT AND WANT TO INCLUDE:
SIGN ME UP FOR ONE YEAR ($149.00)
SIGN ME UP FOR ONE LIFETIME ($249.00)
TYPE OF CREDIT CARD: VISAMASTERCARDAMERICAN EXPRESSDISCOVER
CREDIT CARD #
VERIFICATION# THIS 3 DIGIT # WILL BE ON THE BACK OF THE CCARD.
IT WILL BE 4 DIGITS, ON TOP OF THE LAST SET OF #S ON AMEX. IF YOU HAVE ANY QUESTIONS, CALL MNR.
EXPIRATION DATE
NAME AS IT APPEARS ON CARD
BILLING ADDRESS
ELECTRONICALLY SIGN YOUR ORDER FORM BY FILLING IN YOUR FULL NAME AND CLICKING THE CHECK BOX TO INDICATE THAT ALL OF THE INFORMATION IN THIS FORM IS ACCURATE AND THAT YOU HAVE THE LEGAL RIGHT TO PLACE THIS ORDER USING THE CREDIT CARD DESCRIBED.
SIGNATURE
CLICK FOR VERIFICATION
DATE
SIGNING THIS FORM MEANS YOU UNDERSTAND AND AGREE WITH THE MNR CONDITIONS AND POLICY AS STATED ON PREVIOUS PAGES. PLEASE READ ALL INFO BEFORE YOU SIGN OR CALL 1800 366-4447 WITH ANY QUESTIONS.
MNR POBOX 11 SKYFOREST CA 92385
IF YOU PRINT THIS FORM AND SEND IT WITH A CHECK OR MONEY ORDER TO THE MAILING ADDRESS, PLEASE NOTE: IT TAKES 14 DAYS FOR CHECKS TO CLEAR AND LISTS TO BE SENT ! SUBMIT OR CLEAR hotgigs@mindspring.com
IT TAKES 14 DAYS FOR CHECKS TO CLEAR AND LISTS TO BE SENT ! SUBMIT OR CLEAR hotgigs@mindspring.com
9-20-06