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Florida Country Music Association

Application For Membership

  • Please print and mail to; FCMA C/O Jean French 7107 Cocos Drive Orlando, Florida 32807

    DATE__________________

NAME________________________________________________________________

ADDRESS______________________________________________________________

CITY_____________________________STATE_____________ZIP______________

AGE_________MALE_______FEMALE_______PHONE_______________________ ______________________________________________ Please circle one New Member $20.00 Renewal $16.00 (within 30 days)

New Family $35.00 Renewal $25.00 (within 30 days)

VOCAL______INSTRUMENT__________________________________FAN______

CHAPTER______________________________BIRTH MONTH/DAY_____/______ ______________________________________________

Sponsor____________________________________________Card #____________

CASH_______ NEW__________

CHECK______ RENEWAL_____

______________________________________________ Applicants for Family Membership please list members: Name__________________________________BIRTH MONTH/DAY_____/______ Name__________________________________BIRTH MONTH/DAY_____/______ Name__________________________________BIRTH MONTH/DAY_____/______