Your Name ________________________________

Your Address ____________________________________________

City _________________State_____________Zip Code ____________

Phones: Home_________________ Business _________________

Would you like to be presented in a Member Recital? Yes____No_____

Vocal: What voice do you sing?______________
Instrumental: What instrument(s) do you play?__________

What Committee assignment(s) are you interested in?:

Program________ Publicity _______Youth_______Fund Raising _________
Social (Parties and other celebrations)_______________ Awards/Scholarship_____________________________
Budget__________________________________

In addition to local branch dues, annual National Membership dues apply:

Senior Branch member $40.00 [ ] Member-at-Large $150.00 [ ]
Youth Branch member $15.00 [ ] Junior Branch member $10.00 [ ]

In compliance with the organizational structure of the National Association of Negro Musicians, Inc., each organization member should be affiliated with a local branch in or near his/her city. Each NAMN branch has its own local annual dues structure. Information on existing local branches can be obtained from the national office at the number above. If there is no branch in or near your city, your application will be processed for the "Member-at-Large" category.

If you are interested in becoming a member, please send your application form to: