Please print this page, fill out the form, and mail it to address shown below with a check for $20 You have elected to join as a Music Supporter 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) Your name: 

______________________________________________________________________________________

3) Your mailing address: _________________________________________________________________

_______________________________________________________________________________________

4) Your E-mail address: _________________________________________________________________

5) Phone(s): _____________________________ Fax: ___________________________

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

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

By signing below you agree to JOIN the Colorado Music Association

 __________________________________________________________________ (Signature)

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