Name:  

Address:  

City:       State:        Zip:  

Phone:        E-mail:  

Sponsored by:  

Instrument(s) Played:  

Band/Business info:  



Individual / Family Membership - $25.00 per year
      Add $7.50 for first class mailing.

Individual / Family Premier Membership - $50.00 per year
      Includes first class mailing, luggage tag and
     CBMS Compilation CD or CBMS T-Shirt (S, M, L, XL, XXL)

Individual / Family Donor Membership - at least $60.00 per year
      Includes benefits of Premier Membership, plus any amount $50
      and over is considered tax-deductible.
     CBMS Compilation CD or CBMS T-Shirt (S, M, L, XL, XXL)

Band / Business Membership - $40.00 per year
      Includes listing in Pow'r Pickin'.

Band / Business Premier - $60.00 per year
      Includes first class mailing, luggage tag and
     CBMS Compilation CD or CBMS T-Shirt (S, M, L, XL, XXL)

Band / Business Donor Membership - at least $70.00 per year
      Includes benefits of Premier Membership, plus any amount $50
      and over is considered tax-deductible.
     CBMS Compilation CD or CBMS T-Shirt (S, M, L, XL, XXL)

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      or send us an e-mail and let us know!

     (Premier and Donor, Please check and circle choices. T-Shirts are short-sleeved only.)