| First & Middle Name |
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| Last Name |
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| Organization Name |
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| Address Line 1 |
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| Address Line 2 |
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| Postal or Zip Code |
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| City/Municipality |
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| Province/State |
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| Home Phone Number |
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| Business Phone |
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| Fax Number |
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| Cell Phone Number |
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| Website URL |
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| Prefered Method for Delivery of Newsletter |
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| Prefered Method for renewal advice and Updates? |
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The following question will set your personal security option for display of your information to other members only. Non-members can never see any of your details, but depending on the setting you choose, other BMACC members may be able to look at your personal profile.
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| Online Sharing Options |
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The following section applies only to INDIVIDUAL members. We would like to know a little more about you, which club / band / business you may or may not belong to. We're looking only for Affiliated Bluegrass connections, so we don't want to know about your personal lives, other than how you relate to the bluegrass world.
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| Affiliated BAND - If you are a member of a bluegrass band, please enter the band name here. |
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| Affiliated CLUB - if you are a member of a bluegrass club, please enter the club name here. |
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| Affiliated PRESENTER - if you are affiliated with a bluegrass event promoter, please enter the name |
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| Affiliated MEDIA OUTLET - if you are a member of a media outlet, please enter the organization name |
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| Affiliated BUSINESS - if you are a member of a bluegrass business, please enter the name here. |
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The following section again applies only to INDIVIDUAL members. Here we would like to find out some more about your specific connection to bluegrass. Are you a player? And if you are, what do you play, do you write, are you a singer? Just check the boxes where they apply.
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| Autoharp |
No
Yes
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| Banjo |
No
Yes
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| Bass |
No
Yes
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| Bouzouki |
No
Yes
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| Dobro |
No
Yes
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| Fiddle |
No
Yes
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| Guitar |
No
Yes
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| Harmonica |
No
Yes
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| Mandolin |
No
Yes
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| Songwriter |
No
Yes
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| Vocal Lead |
No
Yes
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| Vocal Tenor |
No
Yes
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| Vocal Baritone |
No
Yes
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| Vocal Bass |
No
Yes
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The following two input fields are where you can put you own comments, explain why you wish to join B.M.A.C.C., or anything else you wish to share. The second box is really meant for clubs and event presenters to list some of their projects and accomplishments.
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| Comments: eg: Your reason for joining B.M.A.C.C. etc. |
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| If a Club or Event Presenter, list some of the activities you're involved with : eg. Events, Jams, e |
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| If a club, how many members (approximate is fine) are there in your organization. |
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Almost done! This following section is really only for Bands, so if you aren't registering a band, you ARE done. Just skip this and hit the 'REGISTER' button. For bands, please fill in your band member names.
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| Member 1 |
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| Member 2 |
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| Member 3 |
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| Member 4 |
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| Member 5 |
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| Member 6 |
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| Member 7 |
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| Member 8 |
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