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Yes, I want to join WAAM, Inc

First Name: Middle Initial: Last Name:

Address:

City: State: Zip:

Home Phone: Work Phone: Fax:

Email:

Musical Genre:

Profession: (Select any that apply)

Full time professional musician
Part time professional musician
Writer/Organizer/Arranger
Producer
Festival Organizer

Media (Radio, TV, Printed, Vendor, Internet)

If you would like us to call you for your credit card payment, please check the appropriate box.
Please call me at Home Work

Comments:

You can pay your $12.95 registration fee with your credit card by phone

or
If you would prefer you can print out the registration form and mail it with your check to:

WAAM, INC.
P.O. Box 850092
New Orleans, LA 70185
Ph:   (504) 943-0353
Fax: (504) 943-0468
Email: info@waami.com

 

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