[  ]  Yes! I want to join the American Music Center
(Remember, professional membership dues can often be a tax-deductible expense!)
[  ]  I also wish to contribute $_______to help the American Music Center do more on behalf of composers and the field of new music. (This amount is a tax-deductible contribution.)
[  ]  I do not wish to become a member at this time, but please keep me on the AMC mailing list.
Individual Memberships
[  ]  $55 -- Individual Membership
[  ]  $100 -- 2 year Individual Membership
[  ]  $35 -- Student/Senior Membership (Student: copy of proof of age under 25 or copy of valid student ID required; Senior: copy of proof of age over 65 required)
[  ]  $60 -- 2 year Student/Senior Membership (Student: copy of proof of age under 25 or copy of valid student ID required; Senior: copy of proof of age over 65 required)
[  ]  PLEASE NOTE: $10 additional postage fee per membership year for International Members
Organization Memberships
[  ]  $85 -- Annual revenues under $500,000
[  ]  $135 -- Annual revenues over $500,000
Payment
[  ]  Amount Enclosed $ ______
(make check payable to: American Music Center)
[  ]  Charge my  [  ] Mastercard   [  ] Visa   [  ] Discover

 

Card #: _________________________________________________________


Exp. date: ______________________________________________________


Signature: ______________________________________________________
Please indicate your area(s) of interest. Check all which apply.
[  ] Composer   [  ] Opera/Theater   [  ] Conductor
[  ] Performer   [  ] Organization   [  ] Electro-Acoustic
[  ] Ensemble   [  ] Educator   [  ] Jazz   [  ] Other:_______________ 

Name (include Mr. Ms., etc.)_____________________________________


Address _________________________________________________________


City/State/Zip __________________________________________________


Telephone _______________________________________________________


Fax _____________________________________________________________


Web site _______________________________________________________


Email ___________________________________________________________
[  ]  Please do not release my name to other new music organizations through mailing list rental.
[  ]  Please include my contact info in the Online Membership Directory
([  ] but not my phone number)

 

 

Print this page, and fax it (212-366-5265) or mail it to:
The American Music Center
30 W. 26th Street, Suite 1001
New York, NY 10010-2011