NHCMA - Online Membership Application

Thank you for your interest in the New Hampshire Country Music Association
Please print out this form and mail it with the appropriate dues to the address below

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          Name:  

  Bus. Name:  

     Address:    

           City:             State: Zip Code:

     Phone No.   E-mail Address 

Month of Birth:  

Individual ($10)        Family ($15)         Band/Business ($50) 

By sending this form to the treasurer of the NHCMA, I (we) hereby apply for membership and agree to abide by the by-laws. A check or Money Order for the appropriate amount is enclosed.          

Send to: Paul Malone, NHCMA Secretary

6 Blackford LN
Epping, NH 03042

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