Maine Academy of Country Music
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Membership Application
We're excited that you have either chosen to become a member of the Academy,
Academy members receive a monthly newsletter called "UPBEAT" around the 1st of each month.
If you are simply using your site to renew your existing membership. You will find everything you need here to ensure that your membership needs are taken care of.
          Thank You!
Annual Family Membership RENEWAL Dues
Annual Family Membership RENEWAL Dues - $24.00

Select this option if you want to renew your existing FAMILY Membership. The family membership is for up to 5 individuals all living in the same household.
Annual Individual Membership RENEWAL Dues
Annual Individual Membership RENEWAL Dues - $12.00

Select this option if you want to renew your existing INDIVIDUAL Membership.
Online Application
Online NEW Membership Application
Enter First & Last Name (Individual or 1st Family Member)
1st Member Birthday (Month & Day)
Enter First & Last Name (Spuse or Significant Other)
Spouse or Significant Other Birthday (Month & Day)
Enter First & Last Name (3rd Family Member under 18 years)
3rd Member Birthday (Month, Day, & Year))
Enter First & Last Name (4th Family Member uner 18 years old))
4th Member Birthday (Month, Day, & Year)
Enter First & Last Name (5th Family Member uner 18 years old)
5th Member Birthday (Month, Day, & Year)
Mailing Address
City
State
ZIP
Home Phone
Email Address
Dues are prorated, the month you join is your 1st month.























Enter your name as it appears on your Credit Card
Select Type of Credit Card



Enter the Card Account Number
Enter CVV (3 digit code on back signature panel)
AMEX Users Enter 4 digit number "printed" on front of card
Enter Month & Year of Expiration: Example 07/09
Enter Total Amount you are paying
Please type the text
that appears in the
picture below:
Printable Application
CLICK HERE for a TEXT Printable Membership Application

CLICK HERE for a PDF Version of the Membership Application

If you need ADOBE ACROBAT READER for the PDF Application
CLICK HERE for a FREE Version of the program.
It's not about you ..... it's not about me ..... it's about the MUSIC !
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