Please fill this form out completely 

Today's date: 
New or Renewal, pick one New Renewal New/Old
IF a new member who referred you?

Type of membership - pick one Student Individual Family Band Business Type NonProfit
If student, where are you going to school?

Name:
Additional names for band members or family members:



Contact person for business or band:

Website URL for businesses & bands


Address:
City:State:Zip:
Email please:
Phone-home:Work phone:
Other phone: Fax:
Don't worry, we won't spam you with email or call you for money, 
but we might need to contact you about something important.

Opt to receive the newsletter via email or online

Are you interested in being on a committee?  Check off your interests.

           Blues in Schools program.
           T-Shirts/Merchandise
           IBC/ Blues Blast Band Contest.
           Newsletter, help to compile the monthly newsletter.
           Publicity / Media, help with press releases and ads.
           Membership, help to recruit and keep track of members.
           Special events, help with planning and organizing events
           Fundraising, help with BBQs and other fundraising events.
           Grants, we need help with finding and applying.
           Nominating, help find future board members.
           Jams, help plan monthly jams
           Festival, help plan a future festival.
           Holiday Party, help plan this yearly event.
           Raffle's & 50/50s
           Website

Please share ideas or suggestions to make the 
MO Blues experience bigger and better:

            
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PayPal users pay to: Membership1@moblues.org