Membership
*Your name:
*Studio:
*Your Address:
*City:
State:
*Zip:
Cell Phone:
Home phone:
Fax:
*Studio Phone:
*Your email address:
Instrument Taught:
PROFESSIONAL/ACADEMIC
AFFILIATIONS AND/OR
CERTIFICATIONS:
MMA
AGM
MFMC
MMTA
OTHER
*Required
Terms and Agreements
By submitting this form you agree to all terms and
agreements.
Mail check to:
Michigan Music Association
c/o Julie Desrosiers
30535 30 Mile Rd.
Lenox, Mi. 48050