Please print this page, fill out the form, and mail it to address shown below with a check for $55. You have elected to join as a BAND Write your band name here Please use back of form if extra space is required

This box for COMA office use only Member # :   _______________ Date one year membership begins:________________ Amt Paid________   Chk# /date_________ / ________________ On Elist_____   On Website  ____ In QB ______ Cards _______

1) How many people in the Band/Act? _____  Genre of music: _________________________________________________

2) Your names (all of them): _____________________________________________________________________________

______________________________________________________________________________________________________

3) Your mailing addresses (for all members): _________________________________________________________________

______________________________________________________________________________________________________

______________________________________________________________________________________________________

4) Your E-mail addresses (don't leave any out): _________________________________________________________________

__________________________________________________________________________________________________________

5) Phone(s): _____________________________ Fax: ___________________________
__________________________________________________________________________________________________________

6) Do you have an existing internet site? ___ Yes ___ No. 

If yes, please provide the address: http://_____________________________________

7) Will you provide us with a short (one or two paragraphs) bio or description of 
your band?     ____ Yes ____ No         If yes please send bio with this form.

8) Will you provide us with a photograph/logo or copy of cover art? ____ Yes ____ No

9) Will you provide us with a recording (a CD is best) for a sound clip to be used 
on the website in the featured member rotation box?  ____ Yes ____ NO   

Please identify the track to be used and furnish appropriate credits - 

Track # _____ Song Title ______________________________

Author(s) / copyright ___________________________________________________________________

With respect to numbers 7, 8 and 9 above, please advise if you are enclosing the items by mail: _____,
or if you are forwarding them to the webmaster (webmaster@coloradomusic.org) by e-mail _____.

By signing below you grant COMA permission to post your name, likeness and sound clip
 on its internet site and warrant that you have the authority to grant such rights.

 ________________________________________________________________________________________ (Signature)

Please make your check payable to: Colorado  Music Association
Mail to:  1490 Lafayette St. Suite 104B, Denver, CO 80218