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Membership Application
American Federation of Musicians of the United States and Canada, Local No. 11-637
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* Indicates required question
Professional Name
Your answer
Legal Name (First, Middle, Last)
*
Your answer
Social Security #
If you prefer to not provide your SSN via this form, please call or visit the LFM Office to provide that info. Your membership cannot be activated without it.
Your answer
Address
*
Street, City, State, Zip Code
Your answer
Phone
*
Include type (cell/home/work/other) and area code
Your answer
Email Address
Your answer
Social Media (Professional)
Website / YouTube Channel / FaceBook Page
Your answer
Date of birth (DD/MM/YYYY)
*
Your answer
U.S. Citizen?
*
If no, what type of visa do you have?
Your answer
Where were you born?
*
City / State / Country
Your answer
Who is the closest relative [or other person who will always know your address] not living with you?
*
Please write their name, address, and phone number.
Your answer
Are you currently an AFM member?
*
If yes, please write the Local #
Your answer
Have you ever been a member of any Local of the AFM?
*
If yes, which Local(s)? How and when was that membership terminated?
Your answer
Principal instrument(s)
*
Your answer
Other instrument(s) played
Your answer
Are you currently a member of a musical group?
If yes, what is the name & musical style of the group(s)?
Your answer
Do you have any agreements with personal manager(s) or booking agent(s)?
If yes, please write the name(s)
Your answer
Are you a teacher?
If yes, write where and what you teach
Your answer
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