Name^*

Phone^*

E-mail^*

Address^*

Address 2

City^*

State^*

Postal / Zip Code

Company^*

Years with Company^*

Position / Title^*

Company / Employer web site^*

Description of business related to Music^*

Employment History (Employer, Title Dates of Employment)^*

College/Graduation year/Degree

Industry Awards/Achievements/Recognition

Community Involvement

What would you like to get out of your experience as a member of WMBA?^*

As a member of WBMA, how can you contribute?^*

How did you learn about WMBA/Referred by^*

Additional information for Singer/Songwriters

Name of Manager/Publisher

PRO – Affiliated since

How many bookings/performances have you had over the past year?

Please list the title, album, artist and label of songs you have had recorded and/or released.