New Membership Form

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  1. Please provide the following contact information:
    First Name
    Last Name
    Title
    Organization
    Street address
    Address (cont.)
    City
    State/Province
    Zip/Postal code
    Country
    Work Phone
    Home Phone
    FAX
    E-mail
    URL
  2. Choose one of the following options:

    Individual Musician
    Member of a Band
    Leader of a Band
    Owner of a Band

  3. Select any of the following options that apply:

    Looking for work.
    Looking for a musician.
    Looking to join a band.

  4. Willing to Travel? Yes No
  5. If expenses were factored in to your pay how many miles would you travel ... ?
  6. Do you desire FULL or PART time work?

  7. I would like to be able to work... (Select any of the following options that apply:)

    Week Days
    Week Nights
    Weekend Days
    Weekend Nights

  8. List your specialty in the space provided below. (i.e.GUITAR, BASS, SAX, TRUMPET, DRUMS, KEYS,ETC)

  9. Enter years of professional experience:
  10. Please tell us a little about what you would like to make happen with your time and talent.


  11. When is the best time to call?

    Weekdays 8am-5pm
    Weeknights 6pm-9pm
    Weekends 8am-5pm
    Weekends 6pm-9pm

 

Copyright Circle R Productions.
Last revised: January 05, 2005